【摘要】 围绝经期排卵障碍性异常子宫出血(AUB-O)是围绝经期最常见的妇科疾病和就诊因素。本质上是因为卵巢功能下降导致的性激素水平波动性变化引起的症状与体征。由于围绝经期同时还是其他妇科疾病和恶性肿瘤的好发年龄，规范诊治与管理有助于围绝经期AUB-O的准确治疗和其他疾病的早期发现、早期治疗。由于围绝经期卵巢功能衰竭的不可逆转性，长期管理不仅可以减少因排卵障碍导致的子宫内膜病变，还可以预防低雌激素导致的其他健康问题。更多还原

【Abstract】 Abnormal uterine bleeding with ovulatory dysfunction(AUB-O) during perimenopause is the most common gynecological disease and cause of medical consultation during perimenopause. Essentially, these are symptoms and signs caused by fluctuating sex hormone levels due to decreased ovarian function. Since perimenopause is also a high-risk age for other gynecological diseases and malignant tumors, standardized diagnosis, treatment and management will help to accurately treat perimenopausal AUB-O and early detection and treatment of other diseases. Due to the irreversible nature of ovarian failure during perimenopause, long-term management can not only reduce endometrial lesions due to ovulation disorders, but also prevent other health problems caused by low estrogen.更多还原