Functional uterine bleeding untreated

Written by Wang Jing Hua
Obstetrics and Gynecology
Updated on May 12, 2025
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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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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 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 Liu Jian Wei
Obstetrics and Gynecology
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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 Wang Jing Hua
Obstetrics and Gynecology
52sec home-news-image

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.

doctor image
home-news-image
Written by Wang Jing Hua
Obstetrics and Gynecology
50sec home-news-image

What to eat for functional uterine bleeding

Dysfunctional uterine bleeding cannot be treated with the same medication for everyone; it is crucial to consider the specific findings of medical examinations. If dysfunctional uterine bleeding has caused anemia, it is essential to start taking hematinics early. A few may need blood transfusion treatment and should also pay attention to a diet rich in iron and high in nutrients. Some cases of dysfunctional uterine bleeding can be treated with hormonal medications because it is originally caused by hormonal disorders in the body. The most commonly used treatment is short-acting contraceptives, but some cases of dysfunctional uterine bleeding require diagnostic curettage surgery.