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围绝经期中最常见的妇科问题是异常的子宫出血,约占69％。分为功能性(DUB)和器质性。DUB约85％无排卵,偏早期的围绝经期无排卵出血,先为经期延长,随之雌素水平恒定,出血严重。偏晚期时出血频繁,量少且间断及点滴出血,此时雌素水平下降,不规则出血。另15％DUB为有排卵,排卵后黄体囊肿延长,闭经几周后月经过多。中期点滴出血可能与排卵时雌二醇轻度下降有关。围绝经期子宫出血的妇女约1/3有病理变化,其中2/3病人可能为恶性或癌前病变,子宫器质性病变发生率在此期最高。排卵停止者,雌素不作用于
The most common gynecological problem during menopause is abnormal uterine bleeding, accounting for about 69%. Divided into functional (DUB) and organic. About 85% of DUB anovulation, partial early menopausal anovulatory hemorrhage, the first menstrual extension, followed by a constant level of estrogen, severe bleeding. Partial late bleeding frequently, the amount of intermittent and intermittent bleeding, when the decline in estrogen, irregular bleeding. Another 15% DUB ovulation, luteal cyst prolonged after ovulation, menstruation a few weeks after menopause. Mid-term bleeding may be related to a slight decrease in estradiol during ovulation. About 1/3 of women with perimenopausal uterine bleeding have pathological changes, of which 2/3 of patients may be malignant or precancerous lesions, the incidence of uterine organic disease in this period is the highest. Ovulation stopped, the female does not act on