in bleeding disorders where the person’s blood clots very hard; It has different types and is caused by problems in blood clotting factors
For some women, time passes slowly during menstruation. Especially if their menstrual cycle is long. The normal duration of menstrual bleeding is from 3 to 7 days. Long menstruation or menorrhagia is defined as bleeding for more than a week. Depending on the circumstances, long periods can be caused by the use of birth control hormones or a serious problem.
The length of an adult women’s menstrual cycle is on average 21 days to 35 days. Young teenage girls, or women who are approaching menopause, may not have regular periods, and the period may be longer or shorter than normal, or with heavier or lighter bleeding.
Usually, this irregularity occurs due to changes in the level of hormones, especially estrogen. Estrogen helps to form the inner layer of the uterus, which is called the endometrium. This uterine membrane will either be a place for the fertilized egg or it will collapse and be removed during the menstrual bleeding. During irregular and annoying menstrual periods, these hormonal changes are common and are rarely a sign of a serious problem.
Reasons for prolonged periods of menstrual bleeding
You may hear from your doctor that you are in a special physical condition when you have heavy or long menstrual bleeding. Menorrhagia means heavy and prolonged menstrual periods. Polymenorrhea refers to irregular bleeding for 21 days or less. These unusual conditions are considered after other causes such as pregnancy have been ruled out.
Abnormal uterine bleeding (DBU) is another cause of prolonged menstruation. This disorder can occur at any time during the reproductive period of women. But it mostly occurs in people over 40 years old. This disease indicates a hormonal disorder that affects the strength of the inner layer of the uterus, and this leads to irregularity, intensity of menstrual bleeding or its prolongation.
Doctors treat this problem with the help of hormones, estrogen, progesterone, or a combination of two female hormones are present in birth control pills, as well as preventing pregnancy, they can help the regular production of hormones and strengthen The inner layer of the uterus is effective. Birth control pills can even be effective in treating this disease in women, early in their menopause.
Some birth control pills that have a hormonal structure can affect the fluctuations, duration and intensity of the menstrual period. Also, changing the type of birth control pill you are taking can affect your menstrual bleeding. However, you should never use birth control pills recklessly, even to treat your long menstrual period, based on what others say. Every woman has a different menstrual period and the use of drugs can affect the menstrual period. So always consult your doctor.
Basic conditions that lead to prolonged menstrual bleeding:
– The first step in diagnosing the cause of your prolonged menstrual bleeding is to consult a gynecologist or health specialist. After conducting tests, the doctor diagnoses your disease.
-Depending on your age, the doctor will check your pregnancy status, hormone level and thyroid function through a blood test. Other diagnostic tests may include pap smear, endometrial biopsy, and ultrasound.
Factors that can cause abnormal menstrual bleeding:
– Uterine fibroids, non-cancerous growth of the uterine wall
Endometrial hyperplasia, thick endometrium
– Bleeding disorder such as von Willebrand disease (hemophilia)
– Blood clotting problem
– Thyroid problems
– Endocrine problems
– Infection
– Ovarian cysts
Uterine polyps
– Cancer
Problems related to ovulation can also affect the lengthening of the period.
Treatments for prolonged menstrual bleeding
In addition to treatment with contraceptive methods, treatments for abnormal bleeding include:
– Drug therapy
– Hysterectomy, surgery to remove the uterus
Endometrial removal, surgery to remove or burn the lining of the uterus
The right treatment method depends on the causes of your disease and your personal circumstances, such as whether you want to get pregnant in the future or not. Some treatment methods, such as hysterectomy, cause infertility.
Prolonged menstrual bleeding may only be bothersome for some women, or it may be a symptom of a disease.
17 September 2013 20:17
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