What should I do if a little girl has been menstruating for half a month and it hasn't stopped?
May 14, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
"Menstruation" here refers to menstrual period, and "not stopping" usually means the bleeding does not cease completely. If a young girl has been menstruating for half a month without the bleeding stopping, it could be caused by physiological factors, but pathological causes should also be considered, such as dysfunctional uterine bleeding, endometriosis, uterine fibroids, or pelvic inflammatory disease. It is recommended to seek medical guidance for treatment with non-steroidal anti-inflammatory drugs, hormonal medications, hemostatic agents, etc.
Menstruation refers to the menstrual period, and "not stopping" usually means prolonged or persistent bleeding. If a young girl continues to bleed for half a month after her period starts, it could be due to physiological factors, but pathological causes such as dysfunctional uterine bleeding or endometriosis should also be considered. It is recommended to treat under medical guidance with nonsteroidal anti-inflammatory drugs (NSAIDs), hormonal medications, hemostatic agents, etc. Specific analyses are as follows:
I. Physiological Factors
During the initial stage of menarche, ovarian function is not yet fully mature, and menstrual cycles may be irregular. Occasionally, prolonged menstruation or persistent spotting may occur. Close observation is recommended, as menstrual cycles typically become more regular with age.
II. Pathological Factors
1. Dysfunctional Uterine Bleeding
Insufficient secretion of hormone levels in the body can lead to inadequate thickening of the endometrium, causing intermittent shedding and prolonged menstrual periods. It is recommended to take medications such as progesterone capsules, medroxyprogesterone acetate capsules, norethisterone tablets, or tranexamic acid tablets under medical supervision.
2. Endometriosis
The exact cause of this condition is not fully understood. Endometrial tissue grows outside the uterine cavity—such as on the ovaries or pelvic cavity—and responds to hormonal changes by swelling and bleeding, leading to prolonged periods and dysmenorrhea (painful menstruation). Treatment may include medications prescribed by a doctor, such as ibuprofen sustained-release capsules, amoxicillin capsules, or desogestrel-ethinyl estradiol tablets.
In addition, other conditions such as pelvic inflammatory disease and uterine fibroids may also cause similar symptoms. Attention should be paid to daily self-care, and if necessary, patients should visit the gynecology department at a hospital for diagnosis and receive appropriate medical treatment under professional guidance.
