How to Determine if It Is Functional Uterine Bleeding

Dec 19, 2024 Source: Cainiu Health

Dr. Zhang Lu

Introduction

Functional uterine bleeding, also known as dysfunctional uterine bleeding, can generally be diagnosed by evaluating the medical history, performing a physical examination, conducting auxiliary tests, measuring basal body temperature, and possibly carrying out a diagnostic curettage. If abnormalities are detected, prompt medical attention is recommended. Treatment should follow medical advice and may involve the use of medications such as progesterone suppositories, dydrogesterone tablets, or medroxyprogesterone acetate tablets.

　　Functional uterine bleeding, also known as dysfunctional uterine bleeding, can generally be diagnosed by considering the patient's medical history, physical examination, auxiliary examinations, basal body temperature measurement, and diagnostic curettage. If abnormalities are detected, timely medical attention is recommended. Detailed analysis is as follows:

　　1. Medical history inquiry: The physician will thoroughly inquire about the patient's bleeding duration, amount, frequency, and type, as well as whether there are accompanying symptoms such as abdominal pain or irregular menstruation. Additionally, the patient's age, reproductive history, and sexual history will be considered to comprehensively assess the possible causes of the bleeding.

　　2. Comprehensive physical examination: A thorough physical examination, including abdominal and pelvic exams, is conducted to rule out other diseases that may cause uterine bleeding, such as pelvic inflammatory disease, infections, or tumors. Through physical examination, the physician can further confirm whether the bleeding originates from the uterus and assess whether the size and shape of the uterus are normal.

　　3. Auxiliary examinations: A series of auxiliary tests, such as sex hormone level testing and ultrasound examination, are performed. Sex hormone level testing helps assess the patient's estrogen and progesterone levels and whether ovulation occurs, aiding in the evaluation of endocrine status. Ultrasound examination allows visualization of the morphology and structure of the uterus and ovaries, helping exclude organic lesions.

　　4. Basal body temperature measurement: Measuring the patient's basal body temperature helps evaluate ovarian function and ovulation status. The basal body temperature of patients with dysfunctional uterine bleeding may show a monophasic pattern or a biphasic pattern with slow temperature rise or fall, low amplitude, and short duration. However, basal body temperature measurement may not always be accurate; therefore, it should be interpreted in conjunction with other diagnostic methods.

　　5. Diagnostic curettage: For married women, especially those experiencing bleeding during perimenopause, curettage can help confirm the type of dysfunctional uterine bleeding and exclude other pathologies. The endometrial tissue obtained through curettage can undergo pathological examination to further confirm whether the bleeding is due to dysfunctional uterine bleeding.

　　Treatment should follow medical advice and may include medications such as progesterone suppositories, dydrogesterone tablets, or medroxyprogesterone acetate tablets. It is also recommended to maintain a healthy lifestyle, ensure adequate sleep, improve dietary habits, adjust physical condition, and promote overall health.

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