What to be aware of during a functional uterine bleeding curettage?

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on September 21, 2024
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When women experience dysfunctional uterine bleeding, if oral medical therapy is ineffective, diagnostic curettage can be used to stop bleeding and to understand the causes of the bleeding. Before undergoing curettage surgery, women should not have sexual intercourse within five days to avoid infections in the reproductive tract. During the curettage process, it is crucial to thoroughly scrape the entire uterine wall, especially the areas around the corners of the uterus. If any abnormal scrapings, such as dirty, greyish-white substances that resemble endometrial cancer, are encountered during the scraping, the procedure should be terminated immediately to avoid causing uterine perforation. For one month after the surgery, sexual intercourse, sitz baths, and swimming should be avoided to prevent infections in the reproductive tract.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Does functional uterine bleeding cause abdominal pain?

When women experience dysfunctional uterine bleeding, if this occurs during an anovulatory period, such as in adolescent or menopausal women, they generally do not experience abdominal pain. Some women have relatively regular menstrual cycles and only exhibit irregular bleeding between periods; these women still ovulate, and they may experience painful menstruation when their period comes. Furthermore, if dysfunctional uterine bleeding persists, it can lead to a decrease in a woman's immunity. Some women may develop concurrent gynecological inflammation, such as inflammation of the endometrium or adnexa. Even if menstruation does not occur, these women may experience abdominal pain, presenting as unilateral lower abdominal pain or heaviness, and the pain may intensify during menstruation.

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Written by Shen Li Wen
Obstetrics and Gynecology
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What are the symptoms of functional uterine bleeding?

When women experience dysfunctional uterine bleeding, the clinical symptoms are varied. For example, some women still have a relatively regular menstrual cycle, occurring monthly, but exhibit bleeding between periods, such as the most common ovulatory bleeding. Other women experience vaginal bleeding before or after their period, such as when there is an abnormality in the function of the corpus luteum, leading to brown vaginal discharge clearly related to the menstrual cycle. Some women have irregular menstrual cycles, with no predictability of when menstruation will occur, characterized by intermittent spotting or irregular vaginal bleeding. If such conditions persist, they can lead to anemia from blood loss in women, manifesting as dizziness, fatigue, sleepiness, and loss of appetite.

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Written by Shen Li Wen
Obstetrics and Gynecology
1min 1sec home-news-image

What to be aware of during a functional uterine bleeding curettage?

When women experience dysfunctional uterine bleeding, if oral medical therapy is ineffective, diagnostic curettage can be used to stop bleeding and to understand the causes of the bleeding. Before undergoing curettage surgery, women should not have sexual intercourse within five days to avoid infections in the reproductive tract. During the curettage process, it is crucial to thoroughly scrape the entire uterine wall, especially the areas around the corners of the uterus. If any abnormal scrapings, such as dirty, greyish-white substances that resemble endometrial cancer, are encountered during the scraping, the procedure should be terminated immediately to avoid causing uterine perforation. For one month after the surgery, sexual intercourse, sitz baths, and swimming should be avoided to prevent infections in the reproductive tract.

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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.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Functional uterine bleeding refers to what?

Functional uterine bleeding is a common disease in women. The main cause of functional uterine bleeding is due to hormonal imbalances in the body, leading to irregular vaginal bleeding. This condition is divided into several different categories, each of which involves different types of endocrine disorders. Therefore, when a woman experiences functional uterine bleeding, it is advisable to visit a local hospital for gynecological color ultrasound and sex hormone tests, among others, to assess the state of the female reproductive and endocrine systems and to formulate the next steps in the treatment plan based on different results.