What does it mean if menstruation lasts for a month without stopping and includes blood clots?
May 14, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
Prolonged menstruation, typically referring to continuous menstrual bleeding lasting for a month or more accompanied by blood clots, may result from non-pathological factors, but could also be associated with certain medical conditions such as hormonal imbalance, dysfunctional uterine bleeding, endometrial polyps, uterine fibroids, or endometrial cancer. It is recommended to seek prompt evaluation at a hospital gynecology department to identify the underlying cause and actively cooperate with the doctor's treatment plan.
Prolonged menstruation, usually referring to continuous menstrual bleeding that lasts for a month or more with blood clots, may be caused by non-disease factors, but could also be related to certain medical conditions such as hormonal imbalances or dysfunctional uterine bleeding. It is recommended to identify the underlying cause and seek appropriate treatment. The specific analysis is as follows:
1. Non-disease factors
Excessive stress or strong emotional stimuli can lead to endocrine disorders, potentially affecting ovarian function. Use of intrauterine devices (IUDs) may irritate the endometrium, resulting in prolonged menstrual periods. Long-term use of contraceptives can disrupt hormonal balance and cause the aforementioned symptoms. Identifying and eliminating these triggers is advised, after which normal function typically resumes spontaneously.
2. Disease-related factors
1) Endocrine disorders
When certain endocrine glands or cells fail to secrete hormones normally due to various factors, hormonal imbalance occurs, which can disrupt the menstrual cycle, leading to prolonged periods and persistent bleeding. It is recommended to consume fresh vegetables, fruits, high-protein foods, and engage in moderate exercise. Under medical guidance, medications such as spironolactone tablets, hydrocortisone acetate tablets, and levothyroxine sodium tablets may be prescribed for hormonal regulation.
2) Dysfunctional uterine bleeding
Various internal and external factors can interfere with the normal regulation of menstruation, causing changes in menstrual blood volume, duration, and cycle frequency. Under medical supervision, medications such as tranexamic acid tablets, dydrogesterone tablets, and estradiol valerate tablets may be prescribed for management. In some cases, dilation and curettage (D&C) may be necessary to achieve rapid hemostasis.
In addition, conditions such as endometrial polyps, uterine fibroids, and endometrial cancer may also cause abnormal bleeding outside the menstrual period or prolonged menstruation. It is recommended to visit a gynecologist at the hospital as early as possible to determine the cause and actively cooperate with medical treatment.
