Patient's question:
How should uterine bleeding be treated?Doctor's answer:
Hello: The common causes of functional uterine bleeding include: excessive proliferation of the endometrium under the continuous action of estrogen, followed by incomplete and irregular shedding of the endometrium, leading to bleeding. For example, in polycystic ovary syndrome, patients secrete excessive luteinizing hormone, leading to increased androgen production by the ovaries, some of which is converted to estrogen. If ovulation does not occur, estrogen lacks sufficient progesterone support, resulting in a decline in levels and causing abnormal uterine bleeding.Vaginal bleeding is often irregular, prolonged, and increased in volume. Blood tests should be conducted to assess the extent of blood loss.
Symptoms
Non-ovulatory functional uterine bleeding may present with bleeding occurring after a period of amenorrhea, or the bleeding may be irregular in pattern, with variable amounts, duration, and intervals. Some cases may only manifest as increased menstrual volume or prolonged menstrual periods. Heavy bleeding can lead to severe anemia.
Ovulatory functional uterine bleeding may present with regular menstrual cycles, but the cycle length may be shortened, or light bleeding may occur several days before the period. The amount of menstrual blood may remain unchanged.