Prolonged Menstrual Bleeding: Causes and Solutions

Q: Prolonged Menstrual Bleeding: Causes and Solutions

Hello： (1) Abnormal vaginal bleeding requires a pregnancy test to rule out miscarriage or ectopic pregnancy as potential causes of bleeding. <br>(2) Next, a pelvic examination should be performed to check for any vaginal or cervical lacerations or lesions that may be bleeding. <b

Menorrhagia

This month, my menstrual cycle has been very irregular.
It was supposed to start on the 13th but didn't begin until the 26th.
I initially thought I had ovulation bleeding, but it only lasted briefly and then stopped.
Since then, I've experienced intermittent bleeding, which has been quite troubling.
It officially started on the 26th, but now, a week later, it hasn't stopped (the blood is dark red).
The flow is lighter than before, and I don't feel any discomfort.
What should I do, doctor?

Yu, 40~49 year old female. Ask Date: 2012/09/02

Dr. Yang Wangjun reply Obstetrics and Gynecology

Hello: (1) Abnormal vaginal bleeding requires a pregnancy test to rule out miscarriage or ectopic pregnancy as potential causes of bleeding.
(2) Next, a pelvic examination should be performed to check for any vaginal or cervical lacerations or lesions that may be bleeding.
An ultrasound should be conducted to assess for endometrial hyperplasia, uterine tumors, or ovarian tumors.
(3) Based on your description, it seems to be a case of menstrual irregularity, which can be managed with menstrual regulation and treatment.
Thank you for your message!

Reply Date: 2012/09/02

More Info

Prolonged menstrual bleeding, also known as menorrhagia, can be a source of concern for many women. It is characterized by heavy or prolonged menstrual bleeding that can disrupt daily life. In your case, it seems that you have experienced irregularities in your menstrual cycle, with a delayed onset of menstruation, intermittent bleeding, and now a prolonged period that has lasted over a week. While it is reassuring that you do not feel any discomfort, it is important to understand the potential causes and appropriate steps to take.

Possible Causes of Prolonged Menstrual Bleeding
1. Hormonal Imbalances: One of the most common reasons for irregular menstrual cycles and prolonged bleeding is hormonal imbalance. Conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, or changes in estrogen and progesterone levels can lead to irregularities in the menstrual cycle.

2. Uterine Fibroids or Polyps: These non-cancerous growths in the uterus can cause heavy bleeding and prolonged periods. They can vary in size and may lead to discomfort or pressure in the pelvic area.

3. Endometrial Hyperplasia: This condition involves the thickening of the uterine lining, which can lead to heavy or prolonged menstrual bleeding. It is often caused by an excess of estrogen without enough progesterone.

4. Infections: Pelvic inflammatory disease (PID) or other infections can cause abnormal bleeding. These infections may also present with other symptoms, such as pain or unusual discharge.

5. Medications: Certain medications, especially blood thinners or hormonal contraceptives, can affect menstrual bleeding patterns.

6. Stress and Lifestyle Factors: High levels of stress, significant weight changes, or excessive exercise can also impact menstrual cycles.

Recommended Actions
Given your symptoms, here are some steps you can take:
1. Monitor Your Symptoms: Keep a detailed record of your menstrual cycle, including the dates, flow intensity, and any other symptoms you may experience. This information will be helpful for your healthcare provider.

2. Consult a Healthcare Provider: Since your menstrual bleeding has persisted for over a week and has been irregular, it is advisable to consult a healthcare provider. They may perform a physical examination, blood tests, or imaging studies (like an ultrasound) to determine the underlying cause.

3. Consider Lifestyle Changes: Maintaining a healthy lifestyle can help regulate your menstrual cycle. This includes a balanced diet, regular exercise, and stress management techniques such as yoga or meditation.

4. Discuss Treatment Options: Depending on the diagnosis, treatment options may vary. Hormonal treatments, such as birth control pills, can help regulate your cycle. In cases of fibroids or polyps, surgical options may be considered.

5. Stay Hydrated and Rest: Ensure you are drinking plenty of water and getting adequate rest, especially if you are experiencing fatigue due to prolonged bleeding.

Conclusion
While it is common for women to experience irregularities in their menstrual cycles at various points in their lives, prolonged bleeding should not be ignored. It is essential to seek medical advice to rule out any serious conditions and to receive appropriate treatment. By taking proactive steps and consulting with a healthcare provider, you can better understand your symptoms and find a solution that works for you. Remember, your health is paramount, and addressing these concerns early can lead to better outcomes.

Similar Q&A

Understanding Prolonged Menstrual Bleeding: Causes and Solutions

Hello Doctor: I have been experiencing prolonged menstrual symptoms for about six months, with each period lasting over ten days and occurring every 7 to 10 days. Prior to these symptoms, I had a few months without menstruation and underwent three ultrasounds, during which doctor...

Dr. Lü Lizheng reply Obstetrics and Gynecology
The response may indicate irregular menstruation; please seek medical attention for confirmation and treatment. Sincerely, Dr. Lyu Li-Cheng, Taoyuan Hospital.

Managing Prolonged Menstrual Bleeding in Patients with Hemophilia

Hello Doctor: I have a history of hemophilia, but it has never affected my menstruation until 2019. Since then, I have experienced heavy menstrual bleeding, sometimes lasting 3-5 days and other times 7-10 days. This time, my period has lasted for 24 days without stopping. I have ...

Dr. Lin Manying reply Obstetrics and Gynecology
Liz: Hello, since gynecological factors have been ruled out, it is believed that your condition is related to your internal medicine issues. I recommend that you seek care at a major hospital where both the obstetrics and gynecology department and the hematology-oncology departme...

Prolonged Menstrual Bleeding: Causes and When to Seek Help

Menstruation has not stopped, and I have been bleeding for over a month. Initially, the flow was normal, but a few days before it started, the bleeding suddenly increased significantly, and there are also some large blood clots.

Dr. Lin Wenbin reply Obstetrics and Gynecology
Please come quickly to see a doctor for an examination.

Managing Heavy Menstrual Bleeding: Causes, Symptoms, and Treatments

Hello Dr. Jan: I experience heavy menstrual bleeding that lasts for over a week each time, and I also feel dizzy and have abdominal pain. I have consulted with a gynecologist, but there hasn't been much improvement. I have four children; could having so many pregnancies affe...

Dr. Zhan Deqin reply Obstetrics and Gynecology
1. Heavy menstrual bleeding can easily lead to anemia, and your dizziness may be caused by anemia. A thorough examination is necessary, including a Pap smear, ultrasound, and pelvic examination, to determine the underlying cause. 2. There are indeed medications available; certain...