Is functional uterine bleeding heavy?

Written by Liu Jian Wei
Obstetrics and Gynecology
Updated on August 31, 2024
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Functional uterine bleeding can be classified into different types. Clinically, some functional uterine bleeding can cause a large amount of bleeding in the vagina in a short period of time. In such cases, hemostatic treatment is crucial. If the patient does not receive timely hemostatic treatment, the continued vaginal bleeding and increasing blood loss can potentially lead to hemorrhagic shock. Therefore, in clinical practice, if there is a significant amount of functional uterine bleeding, diagnostic curettage is often used as a treatment approach. This method not only serves a diagnostic purpose but also achieves immediate hemostatic effects in a short duration.

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Written by Li Shun Hua
Obstetrics and Gynecology
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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 Li Shun Hua
Obstetrics and Gynecology
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How to treat functional uterine bleeding?

Functional uterine bleeding should be treated according to the patient's age. If functional uterine bleeding occurs during adolescence, menstrual regulation treatment is needed. If it occurs during the reproductive age, it requires menstrual regulation and hemostasis, along with treatment to promote ovulation. If functional uterine bleeding occurs during menopause, it is mainly due to a lack of progesterone, and treatment with progesterone can be applied at this time. If there is endometrial thickening, dilation and curettage may be necessary, and the treatment plan should be determined based on the pathological results after the procedure.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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How is functional uterine bleeding treated?

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 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 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.