At age 53, my menstrual period is always irregular and prolonged—does this mean I'm entering menopause?

At age 53, persistent menstrual bleeding is not necessarily a sign of approaching menopause. It could be caused by conditions such as vaginitis, cervicitis, or uterine polyps, which require targeted treatment.

1. Vaginitis

Vaginitis is usually caused by infections such as Trichomonas vaginalis or Candida (yeast). Under the stimulation of inflammatory factors, patients may experience prolonged menstrual bleeding at age 53. Treatment may include medications such as Levofloxacin Hydrochloride Tablets, Cefixime Capsules, or Amoxicillin Capsules, taken as directed by a physician.

2. Cervicitis

Cervicitis may result from infections such as Chlamydia trachomatis or Neisseria gonorrhoeae. Inflammation of the cervix can lead to symptoms like prolonged menstrual bleeding. Treatment may include Azithromycin Tablets, Roxithromycin Dispersible Tablets, or Metronidazole Suppositories, used according to medical advice.

3. Uterine Polyps

High estrogen levels or chronic inflammation may cause abnormal tissue growth on the uterine lining, leading to uterine polyps. These polyps often contain blood vessels and endometrial glands, which can result in irregular or prolonged bleeding. Patients should seek treatment at a qualified medical facility, where hysteroscopic polypectomy is commonly used to remove the polyps.

In addition, persistent menstrual bleeding at age 53 may also be due to uterine fibroids. After identifying the exact cause, patients should actively cooperate with appropriate treatment.