What should I do if taking progesterone for dysfunctional uterine bleeding does not stop the bleeding?

Patient's question:

Doctor, I had a uterine polyp surgery on December 28th for dysfunctional uterine bleeding. Then on January 6th, I had a small amount of spotting, which gradually increased but still had some bleeding. On the 19th, I went to the doctor, and they found my endometrium to be 8mm with uneven echoes, so they prescribed 12 days of progesterone. But as soon as I started taking it, I had in my lower abdomen and bleeding increased, and I’m not even allowed to stop the medication yet. It’s been three days since I started, and the bleeding-stopping medication I’m taking isn’t working at all. What should I do?

Doctor's answer:

Hello, I'm glad to help you. According to your description, this is due to functional bleeding, and general hemostatic drugs are usually ineffective. It is recommended to focus on taking progesterone orally to promote the secretion of progesterone, and medication should be taken before applying ointment. Based on your condition, since the bleeding duration is long, it is recommended to pay attention to external genital hygiene, change new sanitary pads in time, and use cotton sanitary pads with good breathability to prevent vaginitis.

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