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What causes abnormal uterine bleeding?

Sep 13, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
In general, abnormal uterine bleeding may be associated with factors such as ovulatory dysfunction, endometrial polyps, uterine fibroids, adenomyosis, and dysfunctional uterine bleeding. Patients are advised to follow medical instructions for symptomatic treatment. Additionally, it may also be related to conditions such as leukemia and myelodysplastic syndromes. It is recommended to seek timely medical evaluation at a hospital, identify the underlying cause, and receive appropriate treatment accordingly.

Generally, abnormal uterine bleeding may be associated with factors such as ovulatory disorders, endometrial polyps, uterine fibroids, adenomyosis, and dysfunctional uterine bleeding. Patients are advised to follow medical instructions for symptomatic treatment. Specific analyses are as follows:

1. Ovulatory Disorders

When patients have lesions in organs such as the hypothalamus, ovaries, or pituitary gland, uterine bleeding may lose its regular pattern, leading to abnormalities in menstrual volume, duration, and cycle. Under medical guidance, patients can take medications such as letrozole tablets or clomiphene citrate tablets for treatment.

2. Endometrial Polyps

In women with endometrial polyps, if the polyps are not treated promptly, their enlargement may compress surrounding endometrial tissue and alter responsiveness to estrogen and progesterone, preventing normal shedding and resulting in abnormal uterine bleeding. Treatment may involve hysteroscopic removal of endometrial polyps under medical supervision.

3. Uterine Fibroids

Main symptoms include prolonged menstruation, increased menstrual flow, and abnormal uterine bleeding. Patients may also experience discomforts such as increased vaginal discharge, bladder pressure, and rectal fullness. Under medical guidance, patients can take medications such as mifepristone capsules or guizhi fuling capsules for treatment.

4. Adenomyosis

In patients with adenomyosis, lesions invading the uterine muscle layer impair proper uterine contraction, which can lead to abnormal uterine bleeding. Treatment under medical supervision may include danazol capsules or gestrinone capsules. If necessary, surgical removal of the lesion may be performed under medical guidance.

5. Dysfunctional Uterine Bleeding

Main symptoms include irregular menstrual cycles, unpredictable periods, and irregular uterine bleeding. Under medical guidance, patients can take medications such as dydrogesterone tablets or gongxinning capsules for treatment.

In addition, abnormal uterine bleeding may also be related to conditions such as leukemia or myelodysplastic syndromes. It is recommended to seek timely medical evaluation at a hospital to identify the underlying cause and receive appropriate treatment.

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