Patient's question:
At the age of 12, my menstruation started and was normal for 1 year, but it became irregular in the second year. I have experienced excessive bleeding and have taken traditional Chinese medicine, but it hasn't been effective. How can I alleviate this? I have anemia, and my uterus is normal.Doctor's answer:
Dysfunctional uterine bleeding (DUB) is a common gynecological disorder, more prevalent during adolescence and menopause. Clinically, it manifests as the loss of normal, regular menstrual cycles, replaced by excessive bleeding at varying frequencies and prolonged menstrual periods. There is no obvious organic inflammation of the internal or external genitalia, nor are there complications of early pregnancy or systemic bleeding disorders. Causes of menstrual irregularity, including those of DUB, can include excessive mental stress, changes in environment and climate, overexertion, malnutrition, or disturbances in catabolism, among others. Treatment for this condition requires standardized medication under the guidance of a specialist doctor and should not involve self-medication. If the condition is not controlled after completing the medication, a follow-up examination (with another doctor) is necessary. It is important to pay attention to rest and hygiene, and undergo an endocrine examination on the 3rd to 5th day of the next menstrual period, following the doctor's specific instructions.