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功能失调性子官出血(以下简称功血)是妇科常见病之一,约占妇科病人的10～15%。妇女一生中几乎都可能忠过这样或那样的子宫出血,约50%发生在更年期,30%发生在生育期,20%发生在青春期。本文重点讨论更年期功血的诊断与防治。功血的诊断在诊断功血之前,必须首先肯定出血是来自子宫腔内非器质性病变所引起.目前认为功血是由于神经内分泌失调所引起的子宫出血。可分为有排卵型和无排卵型两类,更年期发生的功血多为无排卵型。这是因为更年期妇女的卵巢功能开始衰退,卵泡不能发育成熟,从有排卵过渡到无排卵,最后卵泡耗竭,出现神经内分泌失调.诊断功血的第一步应该注意病史和周身检查.通过询问病史可以了解有无血液病、心血管疾病、肾炎、肝病、甲状腺和肾上腺功能失调等内分泌疾病;了解日
Dysfunctional sexual bleeding (hereinafter referred to as dysfunctional uterine bleeding) is one of the common gynecological diseases, accounting for gynecological patients about 10 to 15%. Almost all women may be loyal to one or more uterine bleeding during their lifetime, about 50% occur in menopause, 30% in the reproductive period and 20% in adolescence. This article focuses on the diagnosis and prevention of menopause dysfunctional uterine bleeding. The diagnosis of dysfunctional uterine bleeding Before the diagnosis of dysfunctional uterine bleeding, you must first determine the bleeding is caused by non-organic uterine cavity lesions caused by the current is that due to dysfunctional uterine bleeding due to neuroendocrine disorders. Can be divided into two types of anovulation and anovulation, menopause, mostly dysfunctional uterine bleeding. This is because menopausal women’s ovarian function began to decline, the follicles can not mature, transition from ovulation to anovulation, the last follicle depleted, neuroendocrine disorders. The first step in the diagnosis of dysfunctional hemorrhage should pay attention to the history and whole body examination by asking history Can understand whether the blood disease, cardiovascular disease, nephritis, liver disease, thyroid and adrenal disorders and other endocrine diseases; understanding of the day