Functional uterine bleeding refers to abnormal bleeding from the uterus.

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

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Written by Shen Li Wen
Obstetrics and Gynecology
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How to treat functional uterine bleeding that has lasted for more than ten years?

If a woman has been suffering from dysfunctional uterine bleeding for more than ten years, a detailed examination should first be conducted to understand the causes of the bleeding. Blood tests can be done for hormonal profiles, thyroid, and adrenal functions, as well as blood glucose levels to identify any issues, such as potential ovarian dysfunction, which can be treated with short-acting oral contraceptives. Long-term irregular vaginal bleeding can lead to anemia, requiring a blood test to assess the severity of the anemia. If the anemia is not severe, oral iron supplements can be taken to correct it. Some women might experience infections due to prolonged bleeding, in which case broad-spectrum antibiotics can be prescribed to treat the infection. (Specific medications should be taken under the guidance of a physician.)

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Is there a treatment for functional uterine bleeding?

Functional uterine bleeding is not considered a complex or difficult condition in the field of obstetrics and gynecology. Therefore, when a woman suffers from functional uterine bleeding, treatment is possible. It is recommended that patients seek consultation at the gynecology clinic of their local hospital, undergo gynecological ultrasound and sex hormone tests among other related examinations, and adopt different treatments based on the results of these tests. Clinically, hormonal medications are commonly used for treatment. Many women experience significant improvement in their functional uterine bleeding after one to two treatment cycles. Most women will regain regular menstrual cycles.

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Written by Shen Li Wen
Obstetrics and Gynecology
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What foods should be avoided with functional uterine bleeding?

When women suffer from dysfunctional uterine bleeding, they should be particularly careful with their diet. For example, most women at this time have pelvic congestion, so it is best not to eat cold or uncooked foods, as these can aggravate pelvic congestion, leading to increased bleeding or prolonged bleeding duration. Additionally, it is advisable to avoid foods that promote blood circulation and remove blood stasis, or some proprietary Chinese medicines, such as the commonly seen saffron, which can also increase menstrual flow and vaginal bleeding. Most women with dysfunctional uterine bleeding, if prolonged, can affect their immunity, leading to infections. Therefore, it is best to avoid spicy foods during this period to prevent exacerbating infections.

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Written by Shen Li Wen
Obstetrics and Gynecology
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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.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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Can functional uterine bleeding be treated with Wuji Baifeng Pills?

First of all, functional uterine bleeding should not be treated blindly with medications. Wuji Baifeng Pills, though traditionally used in Chinese medicine for regulating menstruation, are not very effective for functional uterine bleeding. Therefore, if dysfunctional uterine bleeding occurs, it is necessary to go to the hospital promptly for an examination to determine the cause of the bleeding, whether it is due to endocrine disorder or other organic changes in the uterus or cervix. Treatment should be timely and based on the examination results. If there is thickening or hyperplasia of the endometrium, a dilation and curettage (D&C) for pathological examination may be necessary. Post-surgery, further medicinal treatment will be required. Additionally, it is important to maintain vulvar hygiene and avoid spicy and irritating foods.