What are the three treatments for functional uterine bleeding?

Treatments for functional uterine bleeding include medication, surgery, and lifestyle adjustments. Medication commonly includes oral contraceptives, progestins, and hemostatic drugs, surgery includes endometrial resection, uterine artery embolization, and hysterectomy, and lifestyle adjustments involve diet and exercise management.

1. Drug treatment is a common method for functional uterine bleeding. Oral contraceptives reduce bleeding by regulating hormone levels and are suitable for women who need contraception. Progestins such as dydrogesterone can promote the stability of the endometrium and reduce abnormal bleeding. Hemostatic drugs such as tranexamic acid reduce bleeding by inhibiting the fibrinolytic system and are suitable for the control of acute bleeding.

2. Surgical treatment is suitable for patients who are ineffective with drug treatment or whose condition is severe. Endometrial resection reduces bleeding by removing part of the endometrium and is suitable for women who wish to keep their uterus. Uterine artery embolization reduces bleeding by blocking the blood flow of the uterine artery and is suitable for patients who are not suitable for surgery. Hysterectomy is a radical treatment and is suitable for patients who have no fertility needs and are in severe condition.

3. Lifestyle adjustment plays an important role in the auxiliary treatment of functional uterine bleeding. Dietary conditioning recommends increasing foods rich in iron and vitamin C, such as lean meat, spinach and citrus fruits, to prevent anemia. Exercise management recommends choosing gentle aerobic exercise, such as yoga and walking, to avoid strenuous exercise that aggravates bleeding.

The treatment of functional uterine bleeding requires the selection of appropriate methods according to the patient's specific situation. The combination of drug therapy, surgical treatment and lifestyle adjustment can effectively control symptoms and improve the quality of life. Patients should develop personalized treatment plans under the guidance of doctors and follow up regularly to ensure the treatment effect.