Anovulatory dysfunctional uterine bleeding
Etiology.
1. Factors inside and outside the body affect the mutual regulation of the subthalamic-pituitary-ovarian axis through the cerebral cortex and central nervous system, which can lead to menstrual disorders.
Common factors: excessive mental stress, environmental changes, sudden climatic changes, overexertion, other systemic diseases.
2.Organismal factors affect the synthesis, transit and effect of sex hormones on target organs, which can also lead to menstrual disorders.
Common factors: malnutrition, anemia, metabolic disorders, thyroid and adrenal gland abnormalities
Endometrial pathological changes
1, endometrial hyperplasia simple hyperplasia, complex hyperplasia, atypical hyperplasia.
2.Proliferative endometrium
3, atrophic endometrium
Clinical manifestations
1, abnormal uterine bleeding: excessive menstrual flow, frequent menstruation, irregular bleeding, short-term amenorrhea followed by irregular bleeding.
2.Anaemia manifestation of different degrees.
3. Gynecological examination: no organic lesions.
Treatment
1.General treatment: nutrition and rest; correction of anemia; prevention of infection; elimination of triggering factors.
2.Medication.
(1) Hemostasis.
Hormone hemostasis: endometrial shedding method, endometrial repair method, endometrial atrophy method.
Scraping to stop bleeding (preferred during menopause): to exclude organic lesions.
(2) Cycle adjustment: artificial cycle, etc.; (3) Ovulation promotion therapy.
3. Surgical treatment.
(1) diagnostic scraping: to stop bleeding and exclude endometrial lesions; (2) endometrial resection: recalcitrant gonorrhea and contraindication to performing hysterectomy; (3) hysterectomy.