What should I do if I have menopausal uterine bleeding? These methods are very effective

Female friends often experience uterine bleeding when they reach menopause. This is caused by physiological dysfunction. Don't panic at this time. There are many ways to solve this problem, such as choosing Western medicine treatment, Chinese medicine treatment, and diet adjustment.

1. Western medicine treatment

Menopausal uterine bleeding is a common gynecological disease, which is caused by endocrine changes such as decreased estrogen and increased FSH and LH. Caused by excessive mental stress, environmental changes, overwork and malnutrition.

The symptoms of menopausal functional uterine bleeding are manifested as menstrual changes: irregular menstrual cycles, with prolonged menstrual cycles being the most common, usually 40-50 days, or even more than 2-3 months, and as short as twice a month. The duration of the menstrual period changes, with the period being prolonged or shortened, with prolongation being the most common, often lasting more than ten days or longer. Changes in the appearance and amount of menstrual blood, with an increase or decrease in blood volume, with an increase being more common; the menstrual blood is light red, dark red or purple, or may be accompanied by blood clots or fibrous tissue. The menstrual cycle, menstrual period, and menstrual volume may be abnormal at the same time, or two or one of them may be abnormal. For example, the cycle is normal but the menstrual flow is abnormal, or the cycle is shortened or irregular with reduced menstrual flow, prolonged menstrual period, etc.

Western medicine generally uses hormone therapy to treat menopausal functional uterine bleeding. Progesterone can cause the endometrium to change into a secretory phase and then fall off to stop bleeding. For those with minor bleeding, taking 10-20 mg of progesterone daily can usually stop bleeding within 2-3 days. If the bleeding time is long and the blood loss is heavy, the treatment time should be extended. A large amount of artificial synthetic progesterone can be taken orally and the dosage can be gradually reduced after the bleeding stops. The method is the same as above.

Androgen therapy is also available. Androgens can improve endometrial hyperplasia; they can produce negative feedback and inhibit hypothalamic function, reducing the secretion of ESH and LH, thereby reducing ovarian estrogen secretion; they have the effect of enhancing the tension of uterine muscles and uterine blood vessels; they can relieve pelvic congestion and reduce bleeding. In addition, it can promote protein synthesis, thereby improving the patient's overall condition. However, androgens generally cannot be used alone to stop bleeding. They can be used in combination with estrogen or progesterone to make up for the defects of single medication and enhance the efficacy, and sometimes reduce withdrawal bleeding. The usage is that when the menstrual blood volume is heavy, 25-50 mg of testosterone propionate can be injected intramuscularly daily for 3 consecutive days.

2. Traditional Chinese Medicine Treatment

Traditional Chinese medicine believes that menopausal functional uterine bleeding belongs to the category of "metrorrhagia". The cause and treatment principles are basically the same as those of adolescent functional uterine bleeding. However, due to the gradual decline of kidney qi, organ dysfunction and spleen weakness in menopausal women, they often have no power to control their bodies and cause metrorrhagia. Functional uterine bleeding is closely related to the kidneys and is related to the liver and spleen. Representative prescriptions for treating functional uterine bleeding include Guben Angong Zhixue Decoction, etc. Patients can choose to use them according to their own conditions. The common clinical pathogenesis of menopausal functional uterine bleeding is:

1. Liver and kidney deficiency: Congenital liver and kidney deficiency or sexual exhaustion, early marriage and early childbearing, excessive miscarriages, etc., lead to liver and kidney yin deficiency. Yin deficiency will cause internal heat, which will burn the Chong and Ren meridians, forcing blood to flow abnormally and causing functional uterine bleeding.

2. Spleen and kidney yang deficiency: Spleen and kidney yang deficiency or long-term illness, overeating, fatigue, etc. can cause damage to the spleen and kidney. The spleen controls blood, and if the yang is deficient, it will have no power to control it; if the kidney yang is deficient, its function of sealing and storing will be impaired, resulting in the Chong and Ren meridians being unstable, causing functional uterine bleeding.

3. Blood stasis: Cold stagnation causes blood stasis, and qi stagnation causes blood stasis. Blood stasis blocks the Chong and Ren meridians in the uterus, and new blood cannot return to the meridians, so it does not flow through the normal path and functional uterine bleeding occurs. If blood stasis accumulates inside the body for a long time, it will turn into heat, burn the blood vessels and cause continuous bleeding or blood clots.

3. Dietary principles

1. Eat a balanced and nutritious diet.

The diet should be light, but pay attention to supplementing high-quality protein, eat more eggs, lean meat, etc., and eat more foods rich in vitamin C, such as lemons, apples, etc.

2. Eat more foods that replenish qi and blood and are rich in iron.

I usually cook in an iron pan and eat more animal offal, black chicken, kelp, seaweed, and fungus.

3. Avoid spicy and irritating foods.

Foods with strong stimulation will aggravate menstrual disorders, so they should be avoided, such as cinnamon, pepper, mustard, etc.