Symptoms of dysfunctional uterine bleeding

Patient's question:

What are the symptoms of dysfunctional uterine bleeding? I heard that it is one of the most common gynecological diseases, but I don't know what its symptoms are. I often have a prolonged menstrual period, and I don't know if this counts as it. In the past half year, I sometimes have a menstrual period that lasts more than 10 days.

Doctor's answer:

Functional Dysmenorrhea, abbreviated as FD, refers to abnormal uterine bleeding characterized by menstrual disorders, caused by dysfunction of the HPOU axis (the hypothalamic-pituitary-ovarian-uterine axis) rather than by organic lesions in the reproductive tract.
Suggestions: The symptoms of FD are characterized by irregular menstrual cycles and changes in the quantity and nature of uterine bleeding, which can be classified into the following types:
1. Oligomenorrhea – Irregular uterine bleeding with cycles ≥40 days, often accompanied by hypomenorrhea (reduced menstrual flow).
2. Polymenorrhea – Irregular uterine bleeding with cycles ≤21 days, often accompanied by menorrhagia (excessive menstrual flow).
3. Hypermenorrhea or Menorrhagia – Regular menstrual cycles with excessive menstrual flow and/or prolonged menstrual periods.
4. Metrorrhagia – Irregular menstrual cycles with normal or light menstrual flow.
5. Menomeorrhea – Irregular menstrual cycles accompanied by excessive menstrual flow and prolonged periods.
6. Hypomenorrhea – Regular menstrual cycles with reduced menstrual flow.
7. Intermenstrual Bleeding – Light uterine bleeding between two normal, regular menstrual periods, often accompanied by ovulation and ovulation pain.

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