What causes scanty, irregular, and prolonged menstrual bleeding accompanied by significant fatigue, and what should be done about it?
Jun 01, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
Light and irregular menstruation with prolonged spotting and significant fatigue may be caused by factors such as excessive physical strain, endocrine disorders, or uterine fibroids. Appropriate treatment should be based on the specific condition. Specifically: if during menstruation a person engages in heavy physical labor or lifts heavy objects, this can increase abdominal pressure, cause abnormal stress on the uterus, and accelerate the shedding of the endometrium.
Irregular, scanty menstruation that is prolonged and incomplete, accompanied by significant fatigue, may be caused by factors such as excessive physical strain, endocrine disorders, or uterine fibroids. Appropriate treatment should be based on the specific cause. Detailed analysis is as follows:
1. Excessive Physical Strain
If a woman engages in heavy physical labor or lifts heavy objects during her menstrual period, increased abdominal pressure can place abnormal stress on the uterus, accelerating endometrial shedding. Additionally, due to the natural decline in women's immunity during menstruation, this may lead to symptoms such as irregular, prolonged, scanty menstruation and pronounced fatigue. It is recommended to ensure adequate rest and maintain proper body warmth during this time.
2. Endocrine Disorders
If a person remains in negative emotional states such as anger or anxiety for prolonged periods, it may overstimulate the central nervous system, disrupting hormone levels and causing endocrine imbalances. This can interfere with the normal menstrual cycle, potentially prolonging the duration of menstruation and resulting in the aforementioned symptoms. It is advisable to maintain emotional stability in daily life and use techniques such as distraction or listening to music to manage negative emotions.
3. Uterine Fibroids
Long-term lack of sexual activity or inconsistent sexual activity may lead to disrupted estrogen metabolism. Prolonged estrogen stimulation of the endometrium may trigger cellular mutations and result in uterine fibroids. If fibroids compress surrounding blood vessels, similar menstrual abnormalities may occur. It is recommended to seek medical evaluation at a hospital and consider surgical removal of the fibroids if necessary.
In addition, conditions such as polycystic ovary syndrome (PCOS), vaginitis, or cervical cancer may also cause these symptoms. It is important to maintain good personal hygiene during menstruation, change underwear frequently, and avoid using unclean sanitary products.
