At the age of forty-six, how to deal with large and continuous bleeding?

Patient's question:

Forty-six years old, large amount of leucorrhea with broken skin, has uterine fibroids and undergone a D&C surgery. After that, the broken skin was treated effectively with a progestogen-releasing intrauterine device (IUD). During menstruation, three times a day with eight tablets each time. Normally, three tablets each time, three times a day. Once the medication is stopped, bleeding occurs. It is said that Western medicine was used for topical application first, followed by other medications for treatment. Are Gongxuening and Gufu Zhixueling the best options?

Doctor's answer:

Myoma is submucosal or intramural, is the bleeding related to the myoma, if it is caused by the myoma, it is stubborn and difficult to treat, removal of the myoma is necessary for self-healing, if it is dysfunctional uterine bleeding, hormone treatment can be used, but if the anemia is too severe, there is too much bleeding, surgery to remove the uterus is still ultimately required, hemostatic drugs such as Gongxuening, Fuyao Ling, and Bai Mei Snake venom can be used, anti-inflammatory and hemostatic drugs

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