Can functional uterine bleeding lead to infertility?

Dysfunctional uterine bleeding may lead to infertility, especially when the condition is not effectively controlled for a long time. Its impact mainly comes from the abnormality of the endometrium and the interference of hormonal disorders on ovulation. Early intervention and regular treatment can effectively improve fertility, so it is very important to seek medical treatment in time.

Dysfunctional uterine bleeding (DUB) is often caused by endocrine disorders, which are manifested as irregular menstrual cycles, abnormal menstrual flow or continuous bleeding. Its causes include genetic factors (such as family endocrine disorders or polycystic ovary syndrome); environmental factors (such as body fat disorders caused by long-term stress, irregular work and rest, obesity or extreme weight loss); physiological factors (sex hormone fluctuations during puberty and menopause); and diseases (such as abnormal thyroid function, endometrial hyperplasia, pelvic infection, etc.). These factors may disrupt the normal ovulatory function of the ovaries, cause endometrial thickening or functional degeneration, and hinder the implantation of the fertilized egg.

If functional uterine bleeding is diagnosed, treatment options include drug regulation and surgical intervention. Drug treatment usually focuses on regulating hormone levels, such as oral contraceptives (regulating menstrual cycles), progesterone preparations (improving endometrial function), and pituitary hormone drugs (helping to induce ovulation). Surgical treatments are suitable for those with more severe conditions. Common methods include endometrial resection, hysteroscopic hemostasis surgery, or hysterectomy (only for those who no longer have fertility needs). At the same time, lifestyle interventions are also crucial, such as maintaining a regular schedule, managing weight, and exercising appropriately.

When long-term functional uterine bleeding is not effectively treated, the potential impact on fertility cannot be ignored. If the symptoms persist for more than three months, you should see a gynecologist as soon as possible for diagnosis and personalized treatment to reduce complications and increase the possibility of fertility.