The best treatment for dysfunctional hemorrhage

The term “dysfunctional uterine bleeding” used to refer to dysfunctional uterine bleeding, now known as abnormal uterine bleeding (AUB).There is no such thing as the best treatment for AUB, and commonly used treatments include the use of medications to stop bleeding and regulate menstrual periods, as well as surgical treatments. 1. Hemostatic drugs: (1) Progesterone: it is suitable for patients with hemoglobin >80g/L and stable vital signs. Commonly used drugs are progesterone, dydrogesterone and so on. Progesterone is contraindicated in patients with unexplained vaginal bleeding. (2) Estrogen: commonly used drugs are estradiol benzoate. It is prohibited for patients with severe liver disease, breast or uterine malignant tumor. (3) Others: such as tranexamic acid, vitamin K and other hemostatic drugs. Coagulation factors or fresh blood can be supplemented when bleeding is severe. Tranexamic acid is forbidden for patients who are using thrombin. 2. Drugs for regulating menstruation: (1) Progesterone: use dydrogesterone or micronized progesterone capsules. (2) Oral contraceptives: Oral contraceptives provide good cycle control. Women with thrombophilia, cardiovascular disease, etc. should not apply. (3) Levonorgestrel intrauterine extended-release system: it is suitable for patients in their reproductive or perimenopausal period and without reproductive needs. (3) Surgical treatment: It is especially suitable for patients with ovulatory menorrhagia without fertility requirements. When atypical hyperplasia of the endometrium occurs and there is no need for reproduction, total hysterectomy can be performed. The above drugs and specific treatment programs need to go to the regular hospital in time, follow the doctor’s instructions, in order to better treat the disease.