Prolonged menstrual bleeding during menopause
Apr 21, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
Prolonged menstrual bleeding during menopause may be caused by endocrine disorders, perimenopausal syndrome, uterine fibroids, or other reasons. After diagnosis, patients can take medication under a doctor's guidance, such as dydrogesterone tablets, progesterone capsules, or estradiol valerate tablets. If the cause is uterine fibroids, surgical removal of the fibroids is required. Proper personal hygiene should be maintained during treatment.
Prolonged menstrual bleeding during menopause may be caused by endocrine disorders, perimenopausal syndrome, uterine fibroids, or other reasons. Specific details are as follows:
1. Endocrine Disorders
Women may experience endocrine imbalances during menopause, leading to hormonal fluctuations that can affect the menstrual cycle. Symptoms include prolonged menstrual bleeding, increased or decreased menstrual flow, and abdominal pain. It is recommended to take medications such as dydrogesterone tablets, progesterone capsules, or medroxyprogesterone acetate tablets under a doctor's guidance.
2. Perimenopausal Syndrome
This condition is associated with genetic factors. As ovarian function declines and estrogen levels drop during perimenopause, menstrual irregularities often occur, including prolonged or excessive bleeding, or reduced menstrual flow. Treatment may include taking estradiol valerate tablets, estradiol/dydrogesterone tablets, or desogestrel-ethinyl estradiol tablets as directed by a physician.
3. Uterine Fibroids
Uterine fibroids are related to genetic factors and hormonal imbalances. As fibroids grow, they increase the surface area of the endometrium, leading to heavier menstrual bleeding, prolonged periods, and abdominal pain. Surgical treatments such as myomectomy or hysterectomy may be recommended based on medical advice.
In addition to the above common causes, prolonged bleeding could also be due to cervical cancer. In such cases, treatment options like cervical conization may be performed under a doctor’s supervision. Proper genital hygiene should be maintained during treatment, and individuals experiencing severe symptoms should seek prompt medical attention.
