Prolonged Menstrual Bleeding: When to Seek Medical Attention?

Menstruation lasting more than 10 days?

My period usually starts around the 21st of each month.
After my period ended at the end of January, I had sexual intercourse and took emergency contraception afterward.
My period started again on February 6th and has not shown any signs of stopping since then.
The flow is not heavy, and the color is bright red.
This is the first time my period has lasted this long.
Should I seek medical attention?

Q, 20~29 year old female. Ask Date: 2016/02/15

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the factors affecting the menstrual cycle or intermenstrual bleeding are numerous, including environment, lifestyle, stress, emotional instability, diet, age, and more.
The effects of emergency contraception on menstruation can vary; it may cause your period to come earlier or later, and its contraceptive effectiveness is not 100%.
It is advisable to consult a gynecologist to check for hormonal imbalances or early pregnancy.
Thank you! Wishing you safety and health.
Dr.
Zhang

Reply Date: 2016/02/15

More Info

Prolonged menstrual bleeding, also known as menorrhagia, can be concerning, especially when it deviates from your normal menstrual cycle. In your case, you mentioned that your menstrual period started on February 6 and has continued without signs of stopping, which is unusual for you. While the flow is described as light and bright red, the duration of the bleeding is the primary concern.

There are several factors that could contribute to prolonged menstrual bleeding, including hormonal imbalances, the use of emergency contraception (like the morning-after pill), uterine fibroids, polyps, or even underlying medical conditions such as thyroid disorders or clotting issues. The emergency contraceptive pill can sometimes cause changes in your menstrual cycle, including irregular bleeding or prolonged periods, as it alters hormone levels in your body.

Given that this is your first experience with such prolonged bleeding, it is advisable to seek medical attention. Here are some reasons why you should consider consulting a healthcare provider:
1. Duration of Bleeding: If your period lasts longer than seven days, it is generally recommended to see a doctor. Prolonged bleeding can lead to anemia, which is a decrease in red blood cells due to excessive blood loss.

2. Associated Symptoms: If you experience any additional symptoms such as severe pain, dizziness, fatigue, or passing large clots, it is crucial to seek medical care promptly. These symptoms could indicate a more serious underlying condition.

3. Hormonal Evaluation: A healthcare provider can perform tests to evaluate your hormone levels and determine if there is an imbalance that needs to be addressed.

4. Physical Examination: A thorough examination, including a pelvic exam, can help identify any physical causes of your prolonged bleeding, such as fibroids or polyps.

5. Treatment Options: Depending on the underlying cause, treatment may vary. Options can include hormonal therapies, medications to reduce bleeding, or surgical interventions if necessary.

In summary, while some irregularities in menstrual cycles can be normal, especially after taking emergency contraception, prolonged bleeding warrants medical evaluation. It is essential to address any concerns early to prevent complications and ensure your overall health. If you have not already done so, I recommend scheduling an appointment with your healthcare provider to discuss your symptoms and receive appropriate care.

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