Apgar B S
Department of Family Practice, University of Michigan Medical School, Ann Arbor, Michigan 48118, USA.
Prim Care. 1997 Mar;24(1):161-78.
Dysfunctional uterine bleeding is a diagnosis of exclusion. Endometrial cancer and endometrial precursor lesions must be excluded before a diagnosis of anovulatory bleeding is made. Treatment consists of intravenous estrogen therapy, oral contraceptive pills, and progestational agents. Menorrhagia is excessive menstrual bleeding treated with antiprostaglandins, levonorgestrel-releasing intrauterine contraceptive devices, endometrial ablation, and danazol. Dysmenorrhea results from the release of prostaglandin 2alpha and is treated with antiprostaglandin agents such as nonsteroidal anti-inflammatory drugs.
功能失调性子宫出血是一种排除性诊断。在做出无排卵性出血的诊断之前，必须排除子宫内膜癌和子宫内膜前驱病变。治疗方法包括静脉内雌激素治疗、口服避孕药和孕激素制剂。月经过多是指经抗前列腺素、左炔诺孕酮宫内节育器、子宫内膜切除术和达那唑治疗的月经过多。痛经是由前列腺素2α释放引起的，用抗前列腺素药物如非甾体抗炎药治疗。
