How to examine functional uterine bleeding?

Written by Wang Jing Hua

Obstetrics and Gynecology

Updated on December 07, 2024

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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

58sec

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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 Shen Li Wen

Obstetrics and Gynecology

1min 24sec

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What causes functional uterine bleeding?

Dysfunctional uterine bleeding refers to the situation where a woman's uterus, ovaries, and brain do not have any actual organic lesions, such as the absence of uterine fibroids or ovarian cysts, yet there are functional changes that lead to bleeding. For example, the most common causes include excessive mental stress during schooling, emotional changes due to the death of a family member, or changes in living environment due to business trips, all of which can trigger uterine bleeding. In some cases, uterine bleeding may be a manifestation of a systemic disease; for instance, some women may experience it due to severe anemia or as a result of prolonged dieting and poor dietary habits leading to malnutrition and weight loss, especially if there is a sudden drop in weight. Additionally, some women may have metabolic diseases that can also cause uterine bleeding. Metabolic diseases include conditions such as elevated blood sugar, abnormal lipid levels, or anomalies in thyroid and adrenal gland functions.

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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 Liu Jian Wei

Obstetrics and Gynecology

41sec

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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.

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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.