Prolonged Menstrual Bleeding: When to Seek Medical Advice?

Please ask again?

Hello doctor, thank you for your response.
However, my menstrual period has now lasted over 10 days and is bright red.
Should I just let it continue, or should I see a doctor to possibly take medication to stop the bleeding? (It has been almost two weeks already.)

Niming, 20~29 year old female. Ask Date: 2017/04/20

Dr. Huang Jianzhong reply Obstetrics and Gynecology

If your menstrual period has lasted more than 10 days and is bright red, should you let it continue or see a doctor? Should you take medication to stop the bleeding? (Since it has already lasted almost two weeks.) Answer: You should see a doctor first for evaluation.

Reply Date: 2017/04/20

More Info

Prolonged menstrual bleeding, also known as menorrhagia, can be concerning, especially when it lasts longer than the typical duration of a menstrual cycle, which is usually around 3 to 7 days. If you are experiencing menstrual bleeding that has persisted for over 10 days, it is important to seek medical advice. Here are several reasons why you should consider consulting a healthcare professional:
1. Underlying Health Issues: Prolonged menstrual bleeding can be a symptom of various underlying health conditions, such as hormonal imbalances, uterine fibroids, polyps, endometriosis, or even more serious conditions like adenomyosis or cancer. A healthcare provider can perform the necessary evaluations, including blood tests, ultrasounds, or other imaging studies, to determine the cause of your prolonged bleeding.

2. Risk of Anemia: Extended periods of heavy bleeding can lead to anemia, a condition where your body does not have enough healthy red blood cells to carry adequate oxygen to your tissues. Symptoms of anemia can include fatigue, weakness, and shortness of breath. If you are experiencing any of these symptoms, it is crucial to seek medical attention.

3. Management Options: A healthcare provider can discuss various management options for prolonged menstrual bleeding. Depending on the cause, treatment may include hormonal therapies (like birth control pills), nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce bleeding, or even surgical options if necessary. It is essential to address the issue rather than simply waiting for it to resolve on its own.

4. Monitoring Symptoms: If you notice any additional symptoms, such as severe pain, dizziness, or passing large clots, these could indicate a more serious issue that requires immediate medical attention. Keeping track of your symptoms can provide valuable information to your healthcare provider.

5. Medication Considerations: While over-the-counter medications may help alleviate some symptoms, it is not advisable to self-medicate without consulting a healthcare professional, especially if you are considering taking medication to stop the bleeding. Some medications can have side effects or interact with other medications you may be taking.

In summary, it is not advisable to ignore prolonged menstrual bleeding, especially when it has lasted for nearly two weeks. Seeking medical advice is the best course of action to ensure your health and well-being. A healthcare provider can help identify the underlying cause of your symptoms and recommend appropriate treatment options tailored to your specific situation. Remember, your health is paramount, and addressing any concerns early can lead to better outcomes.

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