Patient's question:
Functional uterine bleeding improved with traditional Chinese medicine but then recurred. There has been continuous brown discharge, with occasional lower abdominal pain. What should be done? What tests are needed when visiting the hospital?Doctor's answer:
Hello, dysfunctional uterine bleeding refers to uterine bleeding caused by ovary dysfunction, abbreviated as "DUB" (Dysfunctional Uterine Bleeding). This condition is divided into two types: anovulatory DUB and ovulatory DUB. It is often characterized by irregular menstrual cycles, excessive menstrual flow, prolonged menstrual periods, or even irregular vaginal bleeding. Dysregulation of sex hormone secretion, prostaglandin effects, abnormalities in the structure and function of spiral arteries in the endometrium, lysosomal dysfunction, and coagulation disorders may all cause DUB. Clinically, treatment should be determined based on the patient's age, type of DUB, endometrial pathology, and fertility requirements. The principle is to remove the cause, stop bleeding quickly, regulate menstruation, restore function, and prevent recurrence. Main methods include: dilation and curettage (D&C), hormone supplementation, hemostatic medication use, menstrual cycle regulation, ovulation induction therapy, and inhibition of excessive endometrial hyperplasia. It is recommended that you undergo a detailed and comprehensive examination and receive treatment under the guidance of a doctor. Single, important adjustments may not be effective. Wishing you good health and early pregnancy.