Poindexter A N, Ritter M
Compr Ther. 1978 Aug;4(8):32-7.
The patient who comes to the physician with abnormal bleeding represents an enormous responsibility. The various causative factors represent defects in numerous physiologic systems. The diagnosis of DUB still requires further investigation of the hormonal imbalance. Only when specific causes are known can the treatment be tailored to the particular patient. Recent scientific advances regarding possible cellular mechanisms for DUB make it mandatory that the primary physician be aware of available tests that may indicate the relative appropriateness of and prognosis for a particular therapy. The treatment is substitutional. If progesterone is missing, therefore,the treatment should replace it. Progesterone may be obtained endogenously by ovulation induction or exogenously by oral or parenteral progestogens.
因异常出血前来就医的患者，对医生来说责任重大。各种致病因素代表了众多生理系统的缺陷。功能失调性子宫出血的诊断仍需进一步研究激素失衡情况。只有明确了具体病因，才能为特定患者量身定制治疗方案。近期关于功能失调性子宫出血可能的细胞机制的科学进展，使得初级医生必须了解那些可能提示特定治疗的相对适宜性和预后的现有检查。治疗是替代性的。因此，如果孕酮缺乏，治疗就应补充孕酮。孕酮可以通过诱导排卵内源性获得，也可以通过口服或注射外源性孕激素获得。
