Symptoms of Dysfunctional Uterine Bleeding, Menstrual Disorders

When women enter menopause, their ovarian function declines, which can easily lead to menopausal functional uterine bleeding, also known as dysfunctional uterine bleeding. This is a gynecological disease with a relatively high incidence rate. The patient's menstruation will undergo significant changes, including the menstrual cycle and menstrual volume.

1. Clinical manifestations

1. Irregular menstrual cycle and menstrual period: The menstrual cycle and menstrual period can be long or short, sometimes more, sometimes less, or continuous.

2. Changes in menstrual volume: Some women experience a gradual decrease in menstrual volume, but some women experience a significant increase in menstrual volume, accompanied by large blood clots and heavy bleeding. Severe cases may experience anemia symptoms such as palpitations and dizziness.

3. Irregular menstrual cycle: One is a shortened menstrual cycle, and the other is a prolonged menstrual cycle, which can occur once every 2-3 months or longer, or amenorrhea and regular menstruation may occur alternately.

2. How to diagnose menopausal functional uterine bleeding

(I) Detailed medical history

1. Ask in detail about the age of onset, menstrual cycle, menstrual changes, duration of bleeding, amount of blood loss, nature of bleeding, duration of the disease and accompanying symptoms, and compare them with the menstrual cycle before the onset of the disease.

2. Whether the patient has received endocrine therapy before consultation.

3. Whether there is amenorrhea or early pregnancy symptoms before bleeding.

4. If the bleeding time is too long or the amount of bleeding is too much, you should ask whether there are any symptoms of anemia.

5. Understand the pregnancy and delivery history, contraceptive status, and whether there is any adverse mental stimulation.

6. Find out if you have any chronic diseases such as liver disease, hypertension, hemophilia, etc.

(B) Physical examination

It includes systemic examination, gynecological examination, etc. to exclude systemic diseases and organic lesions of the reproductive tract.

Gynecological examinations usually reveal no special findings, except that the uterus may be slightly enlarged or enlarged ovaries may be palpable.