Patient's question:
Doctor, I have had dysfunctional uterine bleeding for several years. I have seen many doctors, but it hasn't been effective. I usually feel cold, and I don't get my period for 2-3 months. When it comes, it doesn't stop.Doctor's answer:
Hello, dysfunctional uterine bleeding (DUB) refers to abnormal uterine bleeding characterized by menstrual disorders, resulting from dysfunction of the hypothalamic-pituitary-ovarian-uterine axis rather than organic lesions in the reproductive tract. It is divided into anovulatory type (mainly including puberty DUB and menopausal DUB) and ovulatory type DUB (mainly including ovulatory menstrual disorders, luteal dysfunction, and ovulatory bleeding).The principle of treating puberty DUB is to stop bleeding rapidly and then adjust and establish a normal menstrual cycle after hemostasis, preventing recurrence and improving general condition, correcting anemia. DUB cannot undergo dilation and curettage (D&C), but hormonal hemostasis can be administered, usually with sex hormones such as progesterone.
It is recommended that you visit a hospital for some tests, such as basal body temperature measurement, hormone testing, vaginal smear examination, blood routine, platelet count, and bleeding/coagulation time, etc. Targeted medication will be more effective.