Patient's question:
Hello, I have irregular menstruation. The doctor said it's functional uterine bleeding. How should I treat it? Does this affect pregnancy?Doctor's answer:
Hello! Functional uterine bleeding can be clinically divided into two types: anovulatory dysfunctional uterine bleeding and ovulatory dysfunctional uterine bleeding.1. Anovulatory dysfunctional uterine bleeding often occurs during puberty and menopause. Pubertal dysfunctional uterine bleeding is caused by insufficient function and regulation of the endocrine system, as anovulation inevitably leads to infertility. Menopausal dysfunctional uterine bleeding is primarily due to the decline in ovarian function, which prevents ovulation and the formation of the corpus luteum. This is also the root cause of infertility.
2. Ovulatory dysfunctional uterine bleeding mainly occurs in women of reproductive age. The cause is due to luteal dysfunction and atrophy, which similarly prevents women of reproductive age from becoming pregnant.
3. Additionally, dysfunctional uterine bleeding alters the normal weakly acidic environment of the vagina, disrupting its self-cleaning function. Pathogenic bacteria cannot be killed once they invade, leading to vaginal infection. During dysfunctional uterine bleeding, the cervix is often in a relaxed state, providing bacteria with the opportunity to ascend and cause upward infection, which is unfavorable for sperm movement. This is also the main reason why patients with dysfunctional uterine bleeding cannot become pregnant.