Functional uterine bleeding refers to abnormal bleeding from the uterus.

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on September 28, 2024
00:00
00:00

Dysfunctional uterine bleeding in women is when the reproductive system has no organic lesions but is caused by internal and external factors that lead to abnormal gonadal axis function, resulting in irregular vaginal bleeding. For example, it is common for women to experience large emotional fluctuations due to family changes or other events, or changes in their work and living environments, excessive fatigue, frequent staying up late, etc., all of which can cause abnormal gonadal axis function. Furthermore, some endocrine disorders in women, such as elevated blood glucose levels and abnormal thyroid or adrenal gland function, can also affect the function of the gonadal axis and cause dysfunctional uterine bleeding.

Other Voices

doctor image
home-news-image
Written by Li Shun Hua
Obstetrics and Gynecology
56sec home-news-image

Functional uterine bleeding is what?

Dysfunctional uterine bleeding is caused by abnormal ovulation, resulting in abnormal uterine bleeding. In adolescence, due to the immature development of the gonadal axis, most do not have normal ovulation. Although there is follicular development, the absence of ovulation means that the endometrium is not affected by progesterone. Therefore, when estrogen breakthrough bleeding occurs, it may manifest as irregular vaginal bleeding, excessive menstrual flow, or prolonged menstrual periods, which is the blood supply during adolescence. In menopause, women can also experience dysfunctional uterine bleeding due to ovarian failure, immature follicle development, abnormal ovulation, or the absence of ovulation, which can all cause irregular vaginal bleeding.

doctor image
home-news-image
Written by Wang Jing Hua
Obstetrics and Gynecology
50sec home-news-image

What to eat for functional uterine bleeding

Dysfunctional uterine bleeding cannot be treated with the same medication for everyone; it is crucial to consider the specific findings of medical examinations. If dysfunctional uterine bleeding has caused anemia, it is essential to start taking hematinics early. A few may need blood transfusion treatment and should also pay attention to a diet rich in iron and high in nutrients. Some cases of dysfunctional uterine bleeding can be treated with hormonal medications because it is originally caused by hormonal disorders in the body. The most commonly used treatment is short-acting contraceptives, but some cases of dysfunctional uterine bleeding require diagnostic curettage surgery.

doctor image
home-news-image
Written by Shen Li Wen
Obstetrics and Gynecology
58sec home-news-image

Is functional uterine bleeding related to a previous miscarriage?

Functional uterine bleeding in women, also known as dysfunctional uterine bleeding, occurs not due to organic lesions in the reproductive system but due to abnormalities in the function of the gonadal axis, leading to hormonal imbalances and dysfunctional uterine bleeding. This condition is generally unrelated to procedures like abortion or curettage. In some cases, it is triggered by issues such as delayed recovery of ovarian function following an abortion, excessive fatigue, or abnormalities in thyroid and adrenal gland functions, causing dysfunction of the gonadal axis. To address this issue, it is essential to first conduct tests, including a hormone panel and assessments of thyroid and adrenal gland functions, to identify the cause of the dysfunctional uterine bleeding and provide appropriate treatment.

doctor image
home-news-image
Written by Liu Jian Wei
Obstetrics and Gynecology
50sec home-news-image

What are the symptoms of functional uterine bleeding?

Functional uterine bleeding, clinically divided into ovulatory and anovulatory functional uterine bleeding, presents differently depending on the type. Typically, the clinical manifestation of anovulatory functional uterine bleeding includes prolonged menstrual dripping or heavy vaginal bleeding. In such cases, it is recommended that patients seek immediate medical attention at a local hospital for a clear diagnosis and timely treatment. Ovulatory uterine bleeding is often characterized by changes in the menstrual cycle; some women may experience a shortened cycle, while others may have an extended menstrual cycle.

doctor image
home-news-image
Written by Wang Jing Hua
Obstetrics and Gynecology
41sec home-news-image

Is functional uterine bleeding serious?

Dysfunctional uterine bleeding severity varies from person to person, depending on the specific bleeding situation and individual differences. Some people have mild symptoms and can improve by changing their lifestyle, such as losing weight, gaining weight if underweight, avoiding staying up late, and maintaining a regular life schedule. However, in some cases, dysfunctional uterine bleeding can lead to severe anemia, ineffective drug treatments, or endometrial changes, requiring procedures like curettage.