The principle of treatment for menopausal anovulatory uterine bleeding is to stop bleeding and correct anemia, adjust the cycle after the bleeding stops, and prevent endometrial hyperplasia.
1. Hemostasis. During the bleeding period, sex hormones can be used appropriately to stop bleeding. If the patient has not yet developed anemia, progestin can be used, such as oral dextroprogesterone tablets, to promote endometrial shedding. If the patient has developed anemia, estrogen can be used to promote endometrial repair, for example, estradiol valerate can be taken. Diagnostic scraping is needed if necessary.
2. Regulate the cycle. Stopping bleeding is only the first step of treatment, after stopping bleeding, it is necessary to regulate the menstrual cycle. For example, oral compound short-acting contraceptives, commonly used drugs are drospirenone ethinyl estradiol tablets or deoxypregnene ethinyl estradiol tablets, and so on, and estrogen-progestin sequential therapy can also be taken.
3. Surgical treatment. If medication is ineffective, menopausal women can also take surgical treatment, such as endometrial removal, hysterectomy and so on.
Patients with anovulatory uterine bleeding during menopause are advised to consult a doctor for timely treatment.