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Persistent menorrhagia is a menstrual period that lasts more than a week, sometimes lasting for a month. This condition has many causes, it can be just benign causes such as hormone disorders, but can also be more serious causes such as cancer. Therefore, you need to be examined early when menorrhagia persists.1. What is menorrhagia?
In general, a woman's period will last from three to seven days. If menorrhagia is more than seven days, it is considered as prolonged menorrhagia.Your doctor can diagnose menorrhagia when your period lasts more than a week. You may also be diagnosed with hypermenorrhea if the bleeding is abnormally heavy. About five percent of women have menorrhagia.
Menorrhagia can be a sign of a serious underlying health condition, such as:
Hormonal abnormalities Uterine abnormalities Cancer It is important to see your doctor if you have heavy or heavy bleeding menstruation lasts 1 month. Your doctor will need to examine you and determine what the cause is, while ruling out possible serious causes.
Menorrhagia can cause discomfort during your period as well as change your daily routine. You may find that bleeding affects your activities or your sleep. You can also develop iron-deficiency anemia if you regularly have long periods, especially when your periods are heavy.
2. Causes of prolonged menorrhagia
Persistent menorrhagia can be caused by a variety of benign or malignant causes.2.1. Hormonal changes and ovulation Changes in hormone levels or ovulation can cause prolonged menorrhagia.
You can recognize the symptoms of hormonal changes when you get your first period during puberty or in perimenopause.
You may also have a hormonal imbalance due to some medical condition, such as a thyroid hormone disorder or polycystic ovary syndrome.
If your hormones are not in the normal levels or if your body does not ovulate during your menstrual cycle, the lining of the uterus will not be able to shed and become very thick. This thick lining then sheds and can cause menorrhagia to last longer than usual.
2.2. Due to medication You may experience prolonged menorrhagia due to medication. These may include:
Contraception such as IUDs and prolonged use of oral contraceptives Aspirin and other blood thinners Anti-inflammatory drugs. 2.3. Prolonged menstrual bleeding due to pregnancy Although it's not actually a period, persistent menstrual bleeding can be a sign of an unwanted pregnancy or an abnormality in pregnancy, such as pregnancy. ectopic or it is a sign of miscarriage.
You can also experience persistent vaginal bleeding during pregnancy if you experience the same condition as previa.
If you have had a positive pregnancy test and you are experiencing vaginal bleeding, see your healthcare provider.
2.4. Fibroids or polyps Uterine fibroids and polyps can cause prolonged and sometimes heavy menstrual bleeding. Uterine fibroids develop when fibrous tissue forms in the wall of the uterus. Polyps are also the result of uneven growth of tissues in the uterus and cause small tumors to grow.
2.5. Endometriosis Endometriosis is another form of tissue accumulation. This condition occurs when the endometrium, or lining of the uterus, embeds itself into the muscles of the uterus. This can lead to menorrhagia for a whole month.
2.6. Thyroid conditions You may have menstrual bleeding for a whole month if your thyroid gland is underactive. This condition is called hypothyroidism.
2.7. Blood clotting disease You may have a condition that affects your body's ability to clot, causing your periods to last longer. Blood diseases such as hemophilia and von Willebrand disease can also cause menorrhagia.
Menorrhagia may be the only sign of one of these conditions, or you may have other symptoms.
2.8. Obesity Too much weight can cause menorrhagia. This is because fatty tissue can cause the body to increase the production of more estrogen. This excess estrogen can lead to hormone disruption and change your menstrual cycle.
2.9. Pelvic inflammatory disease Pelvic inflammatory disease (PID) occurs when bacteria invade reproductive organs such as the uterus and appendages. In addition to changes in your menstrual cycle, pelvic inflammatory disease can also lead to increased abnormal vaginal discharge.
2.10. Cancer Having menstrual periods all month could be a sign of cancer in your uterus or cervix. For some women, this can be one of the earliest symptoms of either of these cancers.
3. When do you need to see a doctor?
When heavy bleeding occurs, you should see your doctor to discuss Delaying your diagnosis and treatment could lead to a worse condition. There are many causes of persistent menorrhagia, so your doctor will likely start your appointment by asking you a few questions, including:When your period starts How much have you used pads and tampons from the past day Your sexual activity Other symptoms you are experiencing Your relevant medical and family history They may also have a physical exam including a pelvic exam and Measure your vital signs.
Your doctor may also recommend any of the following tests to help them make a diagnosis:
Blood tests to check hormone levels and also to look for signs of iron deficiency Pap smear Biopsy Abdominal ultrasound or Vaginal Hysteroscopy.
4. Treatment of prolonged menorrhagia
Treatments in menorrhagia can vary. Your doctor will treat the underlying cause. They can also recommend a treatment to reduce your current blood flow, regulate your periods, or ease any discomfort.Hormonal birth control can regulate your period and shorten it in the future. This medication may be used as:
Pill One IUD Implant One Vaginal Ring. Your doctor may also recommend medication to relieve pain. These medications may include over-the-counter nonsteroidal anti-inflammatory drugs, such as Advil or Motrin.
In some cases, your doctor may recommend a surgical procedure to ease prolonged menstrual bleeding.
Dilation and curettage can thin the lining of your uterus and reduce menstrual bleeding.
If you are no longer thinking about having children, you can have a hysterectomy, endometrial ablation, or hysterectomy. These procedures can reduce the length of time your period lasts, but can also eliminate the possibility of pregnancy.
5. Complications may occur if menorrhagia lasts more than 1 month
Delaying diagnosis may lead to a more invasive procedure or more intensive treatment of the underlying cause. Also, if your menstrual cycle causes more blood loss, you may be at risk for anemia. This can contribute to feelings of fatigue and weakness. Your doctor can use the results from a blood test to diagnose anemia. If your iron levels are low, your doctor may recommend boosting your diet with iron-rich foods and possibly iron supplements to bring your levels back to normal. Menorrhagia can also be painful and affect your health and quality of life. There are many reasons why you may have a longer period than usual. Menorrhagia can interfere with your normal life, and they can also be a sign of an underlying medical condition that needs to be treated.See your doctor to find out the cause of your menorrhagia so that you can start treatment. Delaying treatment can cause complications and lead to more invasive treatments in the future.
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