What are the factors that cause intrauterine bleeding?

Patient's question:

My menstrual period lasts a long time. Sometimes it can last over ten days, and it always comes intermittently—stopping for a few days and then coming again for a few days. The amount of blood flow is very light, and it is dark red. When I went to the hospital for a check-up, they said it was internal uterine bleeding. What could be the cause of this?

Doctor's answer:

Intrauterine bleeding may be functional uterine bleeding, abbreviated as FUB, which refers to abnormal uterine bleeding characterized by menstrual disorders caused by dysfunction of the HPOU axis, rather than by organic lesions in the reproductive tract. There are also issues that need to be considered, such as age, for example, menopause can also cause uterine bleeding. Clinically, the common "FUB" can be divided into four types: blood heat type, blood deficiency type, blood stasis type, and spleen deficiency type. According to age characteristics, it can be further classified as "FUB" in adolescence, "FUB" in the reproductive age, and "FUB" in menopause.

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