Prolonged Menstrual Bleeding: Causes and Concerns - Obstetrics and Gynecology

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Prolonged menstrual bleeding, also known as menorrhagia, can be concerning and may arise from various underlying causes. It is essential to understand the potential reasons for this condition, especially when accompanied by other symptoms such as abdominal discomfort or a feeling of fullness.

Firstly, it is important to note that menstrual cycles can vary significantly among individuals. While a typical menstrual period lasts between three to seven days, some women may experience longer or heavier periods due to various factors. In your case, experiencing bleeding for two weeks is outside the normal range and warrants further investigation.

One common cause of prolonged menstrual bleeding is hormonal imbalances. The menstrual cycle is regulated by hormones, and any disruption in their levels can lead to irregular bleeding. Conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, or perimenopause can contribute to these imbalances. If you have a history of irregular cycles or other hormonal symptoms, this could be a potential factor.

Another possible cause is the presence of uterine fibroids or polyps. These non-cancerous growths in the uterus can lead to heavy bleeding and prolonged periods. They can also cause discomfort or a feeling of fullness in the abdomen, which aligns with your experience of feeling something on your right side. A pelvic ultrasound can help identify these growths.

Endometriosis is another condition that can cause prolonged menstrual bleeding. This occurs when tissue similar to the lining of the uterus grows outside the uterus, leading to pain and irregular bleeding. If you have a history of painful periods or other related symptoms, this could be a consideration.

Infections or pelvic inflammatory disease (PID) can also lead to abnormal bleeding. If there are accompanying symptoms such as fever, unusual discharge, or severe pain, it is crucial to seek medical attention promptly.

Regarding your concern about pregnancy, it is essential to rule this out, especially if you are sexually active. While prolonged bleeding is not a typical sign of pregnancy, some women may experience bleeding in early pregnancy, known as implantation bleeding. A home pregnancy test or a visit to your healthcare provider can help clarify this possibility.

Given your symptoms of prolonged bleeding and abdominal discomfort, it is advisable to consult with a healthcare professional. They may perform a physical examination, order blood tests to check hormone levels, and possibly conduct imaging studies like an ultrasound to determine the underlying cause of your symptoms.

In summary, prolonged menstrual bleeding can result from various factors, including hormonal imbalances, uterine fibroids, endometriosis, or infections. It is crucial to seek medical advice to identify the cause and receive appropriate treatment. Early intervention can help manage symptoms and address any underlying health concerns effectively.