Menstrual bleeding has not stopped, and there is some itching in the genital area.

Menstruation that never seems to end, accompanied by mild itching in the genital area, may be caused by physiological factors or pathological conditions such as vaginitis or endometritis. Appropriate treatment should be based on the specific cause. The detailed analysis is as follows:

I. Physiological Factors

If a person experiences prolonged psychological stress or emotional trauma, it may affect hypothalamic function, thereby disrupting the regulation of ovarian activity by the hypothalamus. This can lead to menstrual disorders, including prolonged menstruation. Prolonged exposure to menstrual blood may irritate the surrounding skin, causing mild itching. It is recommended to maintain emotional stability and follow a regular diet in daily life.

II. Pathological Factors

1. Vaginitis

Poor personal hygiene and lack of regular cleaning of the genital area may allow external bacteria to invade the vagina and multiply extensively on the mucosal surface, leading to vaginitis. Inflammatory factors can stimulate the mucosa, causing congestion, redness, swelling, and even ulceration. This may result in rupture of capillaries and bleeding, contributing to persistent menstrual-like symptoms. It is recommended to use medications such as metronidazole clotrimazole ointment (Miconazole Nitrate-Zinc Sulfate-Neomycin Sulfate ointment) or ornidazole vaginal suppositories under medical guidance.

2. Endometritis

Frequent sexual activity may allow pathogens from the genital tract or external environment to ascend into the uterus and infect the endometrium, affecting the uterine muscle layer and triggering endometritis. Inflammation causes endometrial swelling and infiltration by inflammatory cells, sometimes resulting in pus formation, which may prolong the menstrual cycle and cause the aforementioned symptoms. Patients are advised to take medications such as metronidazole tablets or amoxicillin capsules as directed by a physician.

In addition, other conditions such as cervicitis, uterine fibroids, or cervical cancer may also cause similar symptoms. It is recommended to maintain good personal hygiene during menstruation and change underwear frequently.