Menstrual bleeding continues intermittently for a month with blood clots.
May 14, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
Menstrual bleeding that lasts for a month with intermittent spotting and blood clots may be caused by non-disease factors, but could also be related to certain medical conditions such as dysfunctional uterine bleeding, endometritis, submucosal uterine fibroids, endometrial cancer, or cervical cancer. These conditions may cause the aforementioned symptoms. It is recommended to visit a gynecology department at a hospital as early as possible, identify the underlying cause, and follow the doctor's advice to develop an appropriate treatment plan.
Menstrual bleeding that trickles for a month with blood clots may result from non-disease factors, but could also be related to certain medical conditions such as dysfunctional uterine bleeding or endometritis. It is recommended to identify the underlying cause and receive appropriate treatment. The specific analysis is as follows:
I. Non-disease factors
Perimenopause refers to the period before and after a woman's final menstrual period. Due to declining ovarian function, hormonal insufficiency may affect menstruation, leading to light bleeding or irregular menstrual cycles. Additionally, displacement or expulsion of an intrauterine contraceptive device (IUD) can damage the endometrium and cause the aforementioned symptoms. In such cases, removal of the IUD may be necessary.
II. Disease factors
1. Dysfunctional uterine bleeding
This condition results from female endocrine disorders. Various internal and external factors may interfere with the normal regulation and progression of the menstrual cycle, causing abnormal uterine bleeding—such as increased blood volume, prolonged periods, or changes in cycle frequency and regularity. Under medical guidance, medications such as dydrogesterone tablets, levonorgestrel tablets, or tranexamic acid tablets may be prescribed. In some cases, dilation and curettage (D&C) may be required to achieve rapid hemostasis.
2. Endometritis
Inflammatory changes in the endometrium caused by various factors lead to fragile inflammatory tissue and irregular shedding of the endometrial lining, resulting in prolonged and incomplete menstrual bleeding. Under medical supervision, treatment may include antibiotics such as levofloxacin hydrochloride capsules, doxycycline hydrochloride capsules, metronidazole tablets, and tranexamic acid tablets. Surgical intervention may be necessary to remove necrotic tissue when needed.
In addition, diseases such as submucosal uterine fibroids, endometrial cancer, and cervical cancer may also cause similar symptoms. It is recommended to seek prompt evaluation at a gynecology department in a hospital, determine the exact cause, and allow a physician to develop an appropriate treatment plan.
