Why does bleeding occur before menopause?

Functional imbalance abnormal uterine bleeding refers to bleeding caused by abnormal menstrual cycle or menstrual volume, and occurs in the absence of pregnancy and reproductive organ diseases (tumor, inflammation, trauma or systemic bleeding, etc.). Premenopausal imbalanced uterine bleeding is caused by an imbalance in premenopausal estrogen metabolism. Why are premenopausal women more susceptible to multifunctional abnormal uterine bleeding?

Why are premenopausal women more likely to suffer from multifunctional uterine abnormal bleeding?

Premenopausal imbalanced uterine bleeding is caused by an imbalance in premenopausal estrogen metabolism. The imbalance of estrogen metabolism causes the overgrown uterine wall to fall off in irregular parts, leading to irregular bleeding. Because not all of them fall out, the uterine wall lacks regular renewal process, which causes menstruation to be sometimes spotty for several months, and sometimes amenorrhea for a period of time followed by internal bleeding, thus causing abnormal uterine bleeding due to imbalanced function. When metabolism is regulated, bleeding stops and the physiological cycle can resume.

There are many treatments for versatility abnormal uterine bleeding. If there is repeated excessive and irregular bleeding, curettage can be used to first find the cause of abnormal uterine bleeding, and then scrape out all the active substances (substances that make blood difficult to coagulate) carried by the uterine wall and the endometrium, thereby promoting normal blood circulation in the dermis of the endometrium.

If the bleeding is heavy and does not stop, testosterone or cortisone should be used immediately to quickly activate blood circulation, and then other growth hormones or Chinese medicines should be switched to auxiliary treatment.

Nowadays, the commonly used treatment method is to take estrogen Chinese medicine preparations, such as oral norethindrone or medroxyprogesterone. Counting from the first day of bleeding, start taking the medicine after 18 days, with a cycle of 7 to 10 days, the uterine wall in the proliferative stage will be transferred to the metabolic stage. After 3 to 4 days of stopping the medicine, all the uterine wall will fall off naturally and the bleeding will stop naturally.