It is excessive menstrual bleeding, prolonged menstrual bleeding, heavy bleeding during period.
Ovulatory dysfunctional uterine bleeding, patients menstrual volume of blood loss per menstrual cycle more than 80 ml.
Each patient bleeding subjective volume judgment criteria can be very different.
It has been reported patients complained of excessive menstrual bleeding with only 40% blood loss which is more than 80 ml by objective measurement.
Ovulatory dysfunctional, uterine excessive bleeding although menstrual disorders, their menstruation often have normal cycle.
According to the clinical manifestations and above relevant blood volume checks, the first 5 to 9 days before the period, check blood progesterone concentration to help identify ovulation dysfunctional uterine bleeding.
Ovulatory women excessive menstrual bleeding without organic disease may be due to slight abnormal ovulation, caused by endometrial irregular shedding or estrogen and progesterone ratio improper, ovarian hormone disorder.
Drug therapy persistent unhealed, elderly patients have no fertility requirements, can surgically remove the uterus.
In recent years, the birth of a trans-cervical endometrial ablation (TCRE) technique, monitoring by hysteroscopy under surveillance B ultrasound, use laser, microwave, or electric coagulation method, destroy the endometrium functional layer and part of the base layer, make it lost the ability to respond to ovarian hormone, reduce the amount of menstrual blood loss.
The operative time is short, less trauma, quicker recovery, can apply to patients who do not want to hysterectomy, and no fertility requirements, can also enucleation small sub-mucosal fibroids. Preoperative GnRH synergists atrophy endometrial first.
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