Patient's question:
I have had functional uterine bleeding for over a year. It starts bleeding 5 days after each menstrual period. I have seen countless doctors, but none have been able to help (everything is fine, they said it's related to endocrine issues). I have taken An Gong and Liu Wei Di Huang Wan, but they haven't worked. It's getting worse now. Before, it lasted about three days, but now it lasts about five days. The timing and amount of my period are normal. Now I don't know what to do next. Should I check my estrogen levels or is there anything else I should check?Doctor's answer:
Endometrial hyperplasia, bleeding is known as "" in traditional Chinese medicine.Endometrial hyperplasia primarily occurs in women of childbearing age, and menstrual abnormalities are key to the condition's analysis:
The prominent symptom of this disease often manifests as irregular vaginal bleeding, followed by infrequent or absent menstruation for a period, then a sudden heavy vaginal bleeding. Young women may experience infertility after marriage.
Guidelines:
Pay attention to physical health. Increase nutrition by consuming protein-rich foods, vegetables, and fruits. Maintain a balanced lifestyle with rest and work, avoid heavy physical labor and strenuous exercise, ensure adequate sleep, stay mentally happy, and avoid unnecessary mental stress.
(2) Use medication for hemostasis. There are two methods for medication-induced hemostasis: one is to promote complete shedding of the endometrium, which can be achieved by injecting progesterone; the other is to promote endometrial growth, which can be done by injecting estradiol benzoate. Additionally, some hemostatic drugs like Yunnan Baiyao, Anluoxue, vitamin K, aminocaproic acid, and tranexamic acid can generally achieve the goal of hemostasis.
(3) Restore ovarian function and regulate the menstrual cycle. Generally, drugs like diethylstilbestrol are taken continuously at a dose of 0.5-1 gram per day for 20 days, with an increase in progesterone injections at 20 milligrams per day during the last 5 days of medication. For functional uterine bleeding during puberty, it can usually be quickly cured with age growth and proper treatment. For ovulatory functional uterine bleeding, injecting human chorionic gonadotropin in the pre-ovulatory phase may help regulate the menstrual cycle.
(4) Traditional Chinese medicine treatment. In terms of regulating endocrine function and hemostasis, traditional Chinese medicine has unique advantages and should be appropriately utilized. All the aforementioned medications must be used under the guidance of a doctor and should not be self-prescribed, as drugs that adjust the endocrine system have complex effects. Improper use can lead to severe menstrual disorders.