Does functional uterine bleeding during menopause require treatment?

Functional uterine bleeding during menopause usually requires treatment. Functional uterine bleeding during menopause is abnormal uterine bleeding caused by declining ovarian function and fluctuations in hormone levels. It may manifest as menstrual cycle disorders, increased menstrual flow, or prolonged menstrual periods. Long-term uncontrolled bleeding may cause anemia, infection and other problems. It is recommended to seek medical evaluation in time.

Treatment of functional uterine bleeding during menopause requires a plan based on the degree, duration, and overall health of the patient. Mild bleeding can be improved by adjusting lifestyle, such as maintaining a regular schedule, avoiding overexertion, and reducing the intake of spicy foods. Doctors may recommend progesterone drugs such as progesterone capsules and norethindrone tablets to regulate the menstrual cycle, or tranexamic acid tablets to control bleeding. Minimally invasive surgery such as endometrial ablation may be considered in cases where relapses occur repeatedly or when medical treatment is ineffective. People with severe anemia need to supplement iron supplements such as ferrous succinate tablets and monitor hemoglobin levels.

Daily attention should be paid to recording the bleeding time and changes in bleeding volume, wearing loose and breathable cotton underwear, and keeping the perineum clean. The diet can be appropriately increased with iron-rich foods such as animal liver and spinach, and combined with vitamin C to promote iron absorption. Avoid strenuous exercise and heavy physical labor, and prohibit bathing and sexual intercourse during bleeding. If anemia symptoms such as dizziness, fatigue, heart palpitations or bleeding persist for more than 7 days, you must return to the hospital immediately. Menopausal women should undergo gynecological examinations every year to rule out endometrial lesions and other organic diseases.