Is functional uterine bleeding serious?

Written by Wang Jing Hua
Obstetrics and Gynecology
Updated on January 29, 2025
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Dysfunctional uterine bleeding severity varies from person to person, depending on the specific bleeding situation and individual differences. Some people have mild symptoms and can improve by changing their lifestyle, such as losing weight, gaining weight if underweight, avoiding staying up late, and maintaining a regular life schedule. However, in some cases, dysfunctional uterine bleeding can lead to severe anemia, ineffective drug treatments, or endometrial changes, requiring procedures like curettage.

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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 Wang Jing Hua
Obstetrics and Gynecology
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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.

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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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Is functional uterine bleeding heavy?

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.