How to treat anovulatory dysfunctional uterine bleeding

summary

Anovulatory dysfunctional uterine bleeding is caused by neuroendocrine disorder. The condition is complex and needs symptomatic treatment. Let's see how to treat anovulatory dysfunctional uterine bleeding.

How to treat anovulatory dysfunctional uterine bleeding

One: instrument curettage method curettage is in the case of disinfection, the doctor with a small curette into the uterine cavity to scratch, using mechanical methods to make the proliferation of endometrium quickly fall off, so as to achieve the purpose of hemostasis. This method is fast, safe and reliable. More importantly, we can collect the scraped endometrium to know whether there are polyps, tumors and other diseases, which has the value of definite diagnosis. In married patients with long course of irregular bleeding, especially those over 40 years old, curettage should be used to stop bleeding.

Second: drug curettage drug curettage is for anovulatory dysfunctional uterine bleeding patients lack of progesterone effect of pathophysiological changes, intramuscular injection of progesterone to patients, 20 mg daily, a total of 3 days, intima into the secretory phase. Then the drug was stopped, causing an artificial drop in blood progesterone levels. At this time, the intima is regularly stripped and bleeding. Before using progesterone, it must be explained to the patients that the hemostatic effect can only appear after the withdrawal bleeding stops, which can avoid the patients mistaking it as a failure of treatment, thus affecting the recovery of the disease.

Third: estrogen hemostasis, estrogen hemostasis is intramuscular injection of large doses of estradiol benzoate, 2-3 times a day. According to the change of blood loss, the dosage can be increased or decreased. The dosage of estradiol benzoate should be reduced gradually from 2 to 3 days. After about 20 days, progesterone was used again for curettage to stop bleeding.

matters needing attention

When bleeding, stay in bed to avoid fatigue. Keep the vulva clean during bleeding and prohibit sexual intercourse. At ordinary times, we should take contraceptive measures and do a good job in family planning.