What are the treatment principles for dysfunctional uterine bleeding in adolescence?

In daily life, a small number of individuals experience dysfunctional uterine bleeding during puberty. If left untreated for an extended period, this condition may adversely affect overall health. Therefore, prompt medical intervention is essential upon diagnosis. What, then, are the treatment principles for pubertal dysfunctional uterine bleeding?

What Are the Treatment Principles for Pubertal Dysfunctional Uterine Bleeding?

Pubertal dysfunctional uterine bleeding (DUB) is a shortened term for abnormal uterine bleeding occurring during puberty due to hormonal imbalances. Treatment comprises general supportive measures and nutritional support. Patients should rest in bed—preferably in a semi-Fowler’s position—to facilitate drainage and expulsion of blood. Nutritional support includes dietary therapy and intravenous infusion of energy mixtures. Once bleeding has ceased, menstrual cycles can be artificially regulated. With these two approaches, most patients achieve full recovery without long-term adverse effects or complications.

When bleeding is heavy, immediate hemostasis is critical. Commonly used hemostatic agents include vitamin K₁, etamsylate, and tranexamic acid. In cases where excessive bleeding leads to anemia, timely blood transfusion and correction of anemia are required. Hypovolemia necessitates prompt volume expansion to prevent shock.

Pubertal abnormal uterine bleeding must never be taken lightly. Close monitoring of physical symptoms is essential; if symptoms persist without improvement, prompt medical evaluation and treatment at a hospital are strongly advised.