Patient's question:
None of them have their period; when it does come, it lasts for a long time and the amount is also very largeDoctor's answer:
Hello: There are currently six treatment methods for functional uterine bleeding:1. Medication-induced hemostasis. Medication-induced hemostasis is the primary approach for treating menorrhagia, including general hemostatic drugs and hormone-based hemostatic drugs. Hormone-based hemostatic drugs can be used alone or in combination, depending on the patient's condition.
2. Dilation and curettage (D&C). Except for unmarried women in their puberty, D&C is the most commonly used method for treating menorrhagia. Its advantages lie in obtaining endometrial samples for laboratory examination while also removing the functional layer of the endometrium in the uterine cavity in an orderly manner, achieving both diagnostic and hemostatic effects. It is highly effective but can cause severe damage to the endometrium.
3. Endometrial resection. This is a hysteroscopic technique that emerged in the 1980s. The procedure involves removing the entire endometrium under hysteroscopic monitoring using an electric knife or rollerball, aiming to achieve hemostasis or amenorrhea. The surgery typically lasts 1–2 hours, with proven efficacy and is suitable for menorrhagia caused by functional uterine bleeding, endometrial polyps, or submucosal myomas.
4. Microwave endometrial ablation. This is a recently developed modified endometrial ablation technique. Its principle involves using microwave thermal effects to uniformly ablate the entire layer of the endometrium once a certain temperature is reached in the uterine cavity, thereby achieving hemostasis or amenorrhea.
5. Hysterectomy. Hysterectomy is the last resort for treating all abnormal uterine bleeding. It is divided into total hysterectomy and subtotal hysterectomy, and the choice should be made based on factors such as the patient's age, physical condition, uterine size, pelvic condition, and the technical capabilities of the hospital.
6. Traditional Chinese medicine (TCM) treatment. TCM and herbal medicine are safe and effective for treating functional uterine bleeding, making them a relatively ideal treatment option.