Prolonged Menstrual Bleeding: When to Seek Medical Attention

Menstrual issues

Hello Doctor: I would like to ask, if my menstrual period started on June 20 and it has not ended yet, initially it was very light and then it became a bit heavier, and now it is still bright red, with this intermittent bleeding lasting for more than two weeks.
Some people say this is harmful to my health, but is it really that serious? What could be the issue? Do I need to see a doctor at the hospital?

Yihuo, 20~29 year old female. Ask Date: 2005/07/09

Dr. Chen Xuhui reply Obstetrics and Gynecology

Hello, abnormal uterine bleeding usually requires an examination to check for any uterine structural abnormalities using ultrasound to look for fibroids, endometrial lesions, and to rule out the possibility of pregnancy and systemic diseases such as coagulopathy or endocrine disorders.
The remaining cases are referred to as dysfunctional uterine bleeding, which may be related to the patient's age, whether they are experiencing menarche or menopause.
If there is a history of sexual activity, a Pap smear is also very important, so it is indeed necessary to consult a physician for evaluation.

Reply Date: 2005/07/09

More Info

Prolonged menstrual bleeding, also known as menorrhagia, can be a concerning issue for many women. In your case, experiencing bleeding that has lasted for over two weeks, especially if it has transitioned from light spotting to a more significant flow, warrants medical attention. While some variations in menstrual cycles can be normal, prolonged bleeding can indicate underlying health issues that need to be addressed.

There are several potential causes for prolonged menstrual bleeding. Hormonal imbalances are among the most common culprits. Conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, or perimenopause can lead to irregular and prolonged bleeding. Additionally, structural issues within the uterus, such as fibroids or polyps, can also contribute to heavy menstrual bleeding. Infections or conditions like endometriosis can further complicate the situation, leading to prolonged bleeding and discomfort.

Given that your bleeding has persisted for more than two weeks and has changed in volume and color, it is essential to consult with a healthcare provider. They will likely perform a thorough evaluation, which may include a physical examination, a pelvic ultrasound, and possibly blood tests to check for anemia or hormonal levels. These assessments will help determine the underlying cause of your symptoms.

In terms of immediate concerns, prolonged menstrual bleeding can lead to anemia, characterized by fatigue, weakness, and pallor due to the loss of red blood cells. If you experience symptoms such as dizziness, shortness of breath, or extreme fatigue, it is crucial to seek emergency medical attention.

As for the question of whether this situation is "very serious," it depends on the underlying cause. Some conditions may require simple treatments, such as hormonal therapy or medication to manage bleeding, while others might necessitate more invasive procedures. For instance, if fibroids are found to be the cause, treatments can range from medication to surgical options, depending on the severity of the symptoms and the patient's overall health.

In summary, it is advisable to seek medical attention for prolonged menstrual bleeding, especially when it has lasted for over two weeks and has changed in flow. A healthcare provider can help identify the cause and recommend appropriate treatment options. Early intervention can prevent complications and improve your overall health and well-being. Remember, your health is paramount, and addressing these symptoms promptly is the best course of action.

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