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 Wang Jing Hua

Obstetrics and Gynecology

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Functional uterine bleeding untreated

Dysfunctional uterine bleeding is an endocrine disorder, often age-related. If dysfunctional uterine bleeding is not treated in a timely manner, some people may experience prolonged bleeding, leading to infections, abdominal pain, fever, and other issues. Additionally, some cases of dysfunctional uterine bleeding may result in excessive blood loss, leading to severe anemia, and even the need for emergency blood transfusions. A minority of cases of dysfunctional uterine bleeding involve abnormal proliferation of the endometrium, with some exhibiting precancerous changes. Consequently, the risk of endometrial cancer is relatively increased, necessitating early treatment.

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Written by Shen Li Wen

Obstetrics and Gynecology

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Functional uterine bleeding refers to abnormal bleeding from the uterus.

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 Li Shun Hua

Obstetrics and Gynecology

56sec

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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.

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Written by Shen Li Wen

Obstetrics and Gynecology

1min 1sec

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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 Sun Shan Shan

Obstetrics and Gynecology

1min 6sec

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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.