Patient's question:
I myself have been overworked and feel that my body isn't very comfortable, so I went to the hospital for a check-up. The doctor said I have experienced metrorrhagia, and it is common among women in menopause. The vagina and uterus often bleed. Now, I want to know how to treat this condition well?Doctor's answer:
Western Medicine Treatment(1) Hemostasis
① Progestogen drugs: Progesterone 20mg/day, intramuscular injection for 3 days; Medroxyprogesterone acetate 8—16mg/day, Funing tablets 4-8mg/day, or Fuke tablets 2.5-5.Omg/day, orally for a total of 5 days. For cases of prolonged amenorrhea with thick endometrium, concurrent use of testosterone propionate is recommended: 25mg/day for younger patients and 50mg/day for older patients, intramuscular injection for 3-5 days. This is suitable for patients with hemoglobin greater than 6g and those with menopausal dysfunctional uterine bleeding.
② Estrogen preparations: Diethylstilbestrol 2mg, every 6-8 hours, with a reduction of one-third the dose 3 days after bleeding stops, maintaining a dose of 0.5mg/day until 20 days after bleeding cessation. Alternatively, estradiol benzoate 2mg, intramuscular injection every 6—8 hours, with the same tapering method, followed by oral diethylstilbestrol after bleeding stops. This is suitable for adolescent patients with acute heavy bleeding and significant anemia.
③ Other hemostatic drugs: Such as Anluoxue, Hemostatic, Aminocaproic acid, and Vitamin K, but their efficacy is not ideal, so they are only used as supplementary measures for hemostasis.