What are the factors that cause functional uterine bleeding?

Patient's question:

Functional uterine bleeding, what factors or causes can lead to it?

Doctor's answer:

Functional dysmenorrhea, abbreviated as dysmenorrhea, refers to abnormal uterine bleeding characterized by menstrual disorders, caused by dysfunction of the HPOU axis rather than organic lesions in the reproductive tract. When menstrual bleeding is excessive, especially when symptoms such as dizziness, palpitations, and pallor (indicating anemia) occur, it is recommended to seek medical attention to rule out organic lesions. Only by thoroughly treating these diseases can menorrhagia be fundamentally cured. It is advised to undergo a sex hormone six-item test at a regular hospital to determine the factors or underlying causes.
It is recommended to use traditional Chinese medicine for treatment, specifically Yangyin Zhixue Decoction. Ingredients: Rehmannia glutinosa, white peony root, scutellaria baicalensis, scrophularia ningpoensis, dendrobium candidum, phellodendron amurense cortex, calcined oyster shell, flower of fritillaria, carbonized sterculia, and carbonized lotus leaf.
If medication is ineffective in controlling the bleeding, a uterine scraping procedure can be considered. Approximately half of the patients may achieve hemostasis after the procedure.

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