What Are the Differential Diagnoses for Abnormal Uterine Bleeding?

Female uterus may experience bleeding, which can be divided into two types: normal uterine bleeding and abnormal uterine bleeding. Menstruation and bleeding during ovulation are both considered normal uterine bleeding. If these phenomena are excluded, it is considered abnormal uterine bleeding. In case of abnormal uterine bleeding, it is necessary to promptly go to the hospital for relevant examinations and differential diagnosis to determine the underlying cause and initiate effective treatment. So, what is the differential diagnosis of abnormal uterine bleeding?

Differential diagnosis with cervical cancer: Cervical cancer manifests as contact bleeding in the early stage, and in the late stage, the tumor may invade blood vessels, causing irregular vaginal bleeding or even heavy bleeding. Gynecological examination is required to differentiate it from cervical cancer. Differential diagnosis with vaginitis: Vaginitis often manifests as increased vaginal discharge with an unpleasant odor, and may even contain blood streaks. Gynecological examination can confirm the diagnosis. Differential diagnosis with cervical polyps: Gynecological examination can detect the presence of cervical polyps. Differential diagnosis with pregnancy-related diseases: Such as threatened abortion and trophoblastic tumors.

Abnormal uterine bleeding is likely caused by excessive thickness of the endometrium. It is recommended to undergo a color Doppler ultrasound examination at the hospital for a definitive diagnosis. Under certain circumstances, hemostatic drugs such as Duan Xue Liu Granules and Yunnan Baiyao Capsules can be tried. If conservative treatment is ineffective, curettage may be considered as an option for hemostasis.

Both adolescents and menopausal women should maintain menstrual hygiene, strengthen rest and nutrition during menstruation, avoid excessive fatigue and vigorous activities, avoid getting wet or exposed to rain during bleeding, refrain from eating cold and spicy foods, and abstinence from sexual activity. Patients undergoing treatment should learn to measure their basal body temperature and observe changes in the amount and quality of blood at any time. If new symptoms are detected, timely treatment is recommended. Even if bleeding stops after treatment, medication should be continued for at least 3 to 6 months to prevent recurrence.