Prolonged Menstruation: When to Seek Medical Advice?

Prolonged menstrual bleeding?

It has been quite a few days each time, and this time I have specifically noted that today is the 22nd day.
Should I see a doctor?

w, 10~19 year old female. Ask Date: 2012/10/23

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the normal menstrual period should be completed within 7 days.
Your situation has exceeded the typical duration of menstruation.
I recommend that you visit a gynecologist to check for any specific reasons causing this abnormal bleeding.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2012/10/23

More Info

Prolonged menstruation, also known as menorrhagia, can be a concerning issue for many women. If you are experiencing a menstrual period that lasts longer than the typical duration of 3 to 7 days, it is important to pay attention to your body and consider seeking medical advice. In your case, having a menstrual period that has lasted for 22 days is significantly longer than average and warrants a consultation with a healthcare provider.

There are several reasons why prolonged menstruation may occur, including hormonal imbalances, uterine fibroids, polyps, endometriosis, or even more serious conditions such as adenomyosis or malignancies. Hormonal imbalances, particularly involving estrogen and progesterone, can lead to excessive uterine lining growth, resulting in prolonged bleeding. Uterine fibroids and polyps are benign growths that can also contribute to heavy and prolonged menstrual bleeding. Endometriosis, a condition where tissue similar to the lining of the uterus grows outside the uterus, can cause significant pain and irregular bleeding.

In addition to the duration of your period, it is also important to consider other symptoms you may be experiencing. If you are experiencing heavy bleeding (soaking through one or more pads or tampons every hour for several hours), passing large blood clots, or experiencing severe pain, these are additional red flags that should prompt you to seek medical attention. Other symptoms such as fatigue, dizziness, or shortness of breath may indicate that you are experiencing anemia due to blood loss, which is another reason to consult a healthcare provider.

When you visit your healthcare provider, they will likely conduct a thorough evaluation, which may include a physical examination, a review of your medical history, and possibly some diagnostic tests. These tests could include blood tests to check for anemia or hormonal levels, an ultrasound to assess the uterus and ovaries, or a biopsy if there is a concern about abnormal tissue growth.

Treatment for prolonged menstruation will depend on the underlying cause. Hormonal treatments, such as birth control pills, can help regulate your menstrual cycle and reduce bleeding. In cases of fibroids or polyps, surgical options may be considered. Additionally, medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) can help manage pain and reduce bleeding.

In summary, given that you have been experiencing prolonged menstruation for 22 days, it is advisable to seek medical advice. Early evaluation and intervention can help identify the cause of your symptoms and provide appropriate treatment to manage your condition effectively. Remember, your health is important, and it is always better to err on the side of caution when it comes to unusual changes in your menstrual cycle.

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