Patient's question:
After my period started, it didn't stop for a long time. Later, I was diagnosed with dysfunctional uterine bleeding. The doctor prescribed me a 21-day cycle of ethinyl estradiol tablets, along with one week of Chinese medicine for regulation. After taking the medication for three days, my period stopped. Two days after stopping the medication, my period came back, and the duration and amount were both normal. However, this month, my period came with an unusually small amount and a darker color. Is it a recurrence?Doctor's answer:
Functional dysmenorrhea is a condition characterized by abnormal uterine bleeding caused by neuroendocrine disorders, and it is a non-organic disease. It is generally classified into two major types: anovulatory and ovulatory types. The anovulatory type is more common, accounting for 80% to 90% of cases, and it often occurs during puberty and menopause. Ovulatory dysfunctional uterine bleeding typically occurs in the reproductive age group, with cyclic bleeding. It may involve ovulation but with luteal phase deficiency or prolonged involution, leading to shortened menstrual cycles, extended periods, excessive blood flow, or intermenstrual bleeding. It is often seen postpartum or post-abortion, associated with incomplete recovery of endocrine function. After treatment, functional dysmenorrhea is not easily recurrent. It is recommended to improve overall physical health, correct anemia; during bleeding periods, avoid overexertion, ensure adequate rest, and use appropriate hemostatic medications.