What to Do If Your Period Lasts Over a Month: A Guide

What should I do if my menstrual period lasts for more than a month?

I have had my period since November 13, and it has been over a month.
I have visited a traditional Chinese medicine practitioner, but the medication has not been effective.
What could be the situation, and should I see a gynecologist for an examination?

Eileen, 10~19 year old female. Ask Date: 2016/01/10

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the factors that can affect the menstrual cycle or cause bleeding outside of menstruation are numerous, including environment, lifestyle, stress, emotional instability, diet, age, and more.
Since this has been ongoing for a long time and has not improved with treatment, I recommend that you consult a gynecologist to check for possible hormonal imbalances or other underlying causes if the bleeding persists.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2016/01/10

More Info

If your menstrual period has lasted over a month, it is important to understand that this condition, known as prolonged menstruation or menorrhagia, can have various underlying causes. It is essential to seek medical advice, especially if you have already tried alternative treatments, such as traditional Chinese medicine, without success.
Menstrual cycles typically last between 21 to 35 days, with bleeding lasting anywhere from 2 to 7 days. When menstruation extends beyond this range, it can be indicative of several issues, including hormonal imbalances, uterine fibroids, polyps, endometriosis, or even more serious conditions such as adenomyosis or malignancies.
Given that your period has lasted over a month, it is advisable to consult a gynecologist for a thorough evaluation. Here are some steps you can take and considerations to keep in mind:
1. Schedule an Appointment with a Gynecologist: A healthcare provider specializing in women's health can conduct a comprehensive evaluation. This may include a pelvic examination, ultrasound, or other imaging studies to assess the uterus and ovaries.

2. Document Your Symptoms: Keep a record of your menstrual cycle, including the start and end dates, the heaviness of your flow, any associated symptoms (such as pain, clotting, or fatigue), and any other relevant health issues. This information will be helpful for your doctor.

3. Discuss Your Medical History: Be prepared to discuss your medical history, including any previous menstrual irregularities, hormonal treatments, medications, and lifestyle factors that may contribute to your condition.

4. Consider Blood Tests: Your doctor may recommend blood tests to check for anemia (due to prolonged bleeding), hormonal levels, or other underlying health conditions.

5. Explore Treatment Options: Depending on the diagnosis, treatment options may vary. They can include hormonal therapies (such as birth control pills), non-steroidal anti-inflammatory drugs (NSAIDs) to reduce bleeding and pain, or surgical options if necessary (like a D&C or hysterectomy).

6. Lifestyle Modifications: While awaiting your appointment, consider lifestyle changes that may help regulate your menstrual cycle. This can include maintaining a balanced diet, managing stress, and ensuring adequate exercise.

7. Monitor for Warning Signs: If you experience severe pain, dizziness, or signs of anemia (such as extreme fatigue or shortness of breath), seek immediate medical attention.

In summary, while traditional remedies can be beneficial for some, prolonged menstruation lasting over a month warrants a professional evaluation to rule out serious conditions and to receive appropriate treatment. Consulting a gynecologist will provide you with the best course of action tailored to your specific situation. Remember, your health is paramount, and timely intervention can lead to better outcomes.

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