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 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
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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.

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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.

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Written by Shen Li Wen
Obstetrics and Gynecology
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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 Wang Jing Hua
Obstetrics and Gynecology
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Functional uterine bleeding how many days

Dysfunctional uterine bleeding can last for various durations; it varies from person to person. Some experience a shortened menstrual cycle, decreased period duration, prolonged menstrual duration, or excessive menstrual flow. Others may only have an extended cycle, and still others experience irregular, heavy, or prolonged bleeding. The duration of bleeding is not fixed and varies between individuals. When dysfunctional uterine bleeding occurs, endocrine tests are necessary, and corresponding treatment is required to address the issue. It is essential to seek treatment as early as possible.