What should be done for prolonged and excessive menstrual bleeding during menopause?
Apr 21, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
Prolonged menstrual bleeding during menopause can be managed through lifestyle adjustments, and under a doctor's guidance, patients may take medications such as dydrogesterone tablets, letrozole tablets, or medroxyprogesterone acetate tablets. Traditional Chinese medicine, including herbs like Angelica sinensis (Danggui), Chuanxiong, Motherwort, and White Peony Root (Baishao), can also be used for treatment. Patients should strictly follow their doctor’s recommendations, undergo regular follow-up visits, and have treatment efficacy evaluated periodically to achieve the best therapeutic outcomes.
Menopausal prolonged menstrual bleeding can be improved through lifestyle adjustments, medication, and traditional Chinese medicine treatment.
1. Lifestyle Adjustments
First, ensure sufficient sleep to help regulate the body's circadian rhythm and maintain hormonal balance. Additionally, the diet should include adequate protein, vitamins, calcium, iron, and other essential nutrients, while controlling calorie and fat intake to prevent obesity, which may disrupt the endocrine system. These measures can also help alleviate this condition to some extent.
2. Western Medicine Treatment
Hormone therapy can be used to regulate hormone levels, promote normal growth and shedding of the endometrium, and thereby control menstrual cycles and blood flow. Under a doctor’s guidance, medications such as dydrogesterone tablets, letrozole tablets, and medroxyprogesterone acetate tablets may be prescribed.
3. Traditional Chinese Medicine (TCM) Treatment
TCM aims to regulate the body's balance of qi and blood, nourish the body, and modulate the endocrine system to achieve menstrual regulation and hemostasis. Commonly used herbal medicines include Angelica sinensis (Danggui), Chuanxiong, Leonurus (Yimucao), and white peony root (Baishao).
Treatment for menopausal prolonged menstrual bleeding should be individualized based on the specific condition. Patients are advised to undergo relevant medical evaluations before treatment to determine the underlying cause. During treatment, patients should strictly follow their doctor's instructions, attend regular follow-up appointments, and have treatment efficacy assessed periodically to achieve optimal outcomes.
