How is functional uterine bleeding treated?

Written by Liu Jian Wei

Obstetrics and Gynecology

Updated on September 16, 2024

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Functional uterine bleeding is a common endocrine disorder among women. When functional uterine bleeding occurs, it is recommended that the patient visit a local hospital to determine the type of functional uterine bleeding. Functional uterine bleeding can be divided into ovulatory and anovulatory types, and the treatment plans for different types vary. Therefore, identifying the type is key to how it is treated. Currently, oral hormonal medications are commonly used to treat functional uterine bleeding clinically.

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Written by Li Shun Hua

Obstetrics and Gynecology

52sec

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What causes functional uterine bleeding?

Functional uterine bleeding is commonly seen in adolescence and menopause, primarily caused by the absence of normal ovulation. Without ovulation, there is no production of progesterone, leading to irregular vaginal bleeding or heavy bleeding under the influence of estrogen. The main treatment method is menstrual regulation. For adolescent girls, menstrual regulation and ovulation induction treatment are needed, as this is caused by abnormal development of the gonadal axis. Progesterone can be used for menstrual regulation. In menopausal women, menopausal functional uterine bleeding mostly results from abnormal ovulation, essentially due to a lack of progesterone, so treatment with progesterone can be applied. (Please use medication under the guidance of a doctor.)

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Written by Wang Jing Hua

Obstetrics and Gynecology

49sec

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How to examine functional uterine bleeding?

Dysfunctional uterine bleeding primarily requires checking for any present anemia with routine blood tests and coagulation studies. Ultrasound is needed to examine the pelvis and uterine cavity, including the thickness of the endometrium. Treatment methods should be considered based on these results. Some cases can be managed with medication; others may require another diagnostic curettage to further clarify the condition of the endometrium; some may need contraceptives or similar treatments for 3-6 months, as this is fundamentally an endocrine issue involving hormonal imbalance, where hormonal treatment tends to be quite effective.

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Written by Shen Li Wen

Obstetrics and Gynecology

53sec

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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 Liu Jian Wei

Obstetrics and Gynecology

50sec

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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.

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Written by Liu Jian Wei

Obstetrics and Gynecology

31sec

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Is functional uterine bleeding easy to treat?

Functional uterine bleeding is a common gynecological disease. The cause of functional uterine bleeding is relatively clear, so it is easier to treat clinically. Currently, oral hormonal drugs are widely used to treat functional uterine bleeding. Most patients have their endocrine disorders readjusted after taking oral hormonal drugs, returning to normal levels. After several courses of hormonal drug treatment, most women can recover and resume regular menstrual cycles.