How to stop bleeding during menopause, three methods of stopping bleeding

The reason for menopausal functional uterine bleeding is that the function of the ovaries gradually declines after middle age. Menopausal functional uterine bleeding can cause menstrual disorders, increased menstrual volume, and longer cycles. If hemostasis measures are not taken in time, it is likely to cause severe anemia.

1. Scraping and hemostasis for menopausal functional uterine bleeding

Since menopause is a high-risk age group for diseases such as uterine fibroids, endometrial cancer, and endometrial polyps, unlike the use of drugs alone to stop bleeding in adolescence, doctors clinically recommend that menopausal patients with functional uterine bleeding use the method of curettage to achieve the dual effects of comprehensive diagnosis and hemostasis.

2. Drug hemostasis for menopausal functional uterine bleeding

In addition to scraping to stop bleeding, menopausal women can also use medication to stop bleeding. In addition to common hemostatic drugs, progestins are often used to stop bleeding, such as medroxyprogesterone, norethindrone, and megestrol acetate.

After stopping, the dosage should be reduced every 3-4 days, and each reduction should not exceed one-third of the original dose to prevent breakthrough bleeding. In order to control the menstrual cycle and enable patients to smoothly transition to menopause, progesterone and androgen combined therapy is generally used.

3. Combined use of hormones to stop bleeding

If androgens are used alone to stop bleeding, side effects such as increased hair growth, acne, and hoarseness may occur. 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. 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.