Must hysterectomy be performed for dysfunctional uterine bleeding?

Patient's question:

Previous menstrual cycle was irregular. Initially, there were two months without menstruation, followed by the discharge of a blood clot. After taking traditional Chinese medicine for regulation, menstruation returned with normal duration and volume. Subsequently, the next menstrual period lasted for 19 days. Hysteroscopy revealed a polyp near the cervix, which was removed under the microscope. Two months after the surgery, the next menstrual period lasted for 45 consecutive days. Ultrasound showed an endometrial thickness of 1.0 cm. After dilation and curettage, the patient took Gongxuening, intravenous oxytocin, and hemostatic drugs, but the bleeding did not stop. Later, Dafutong was prescribed to stop the bleeding.

Doctor's answer:

Medical Analysis: Menorrhagia has already caused anemia. If the bleeding occurs repeatedly over a long period, the anemia will become increasingly severe.
Medical Advice: Ms., to prevent the recurrence of your condition and the development of endometrial lesions, it is recommended that you undergo a total hysterectomy. Retaining the ovaries post-surgery will not affect your future health or accelerate aging. Maintain good hygiene of the external genitalia, and you can still engage in sexual activity. Wishing you good health.

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