What could be the reason for menstrual bleeding lasting over 20 days at age 50, and what should be done?
Sep 13, 2024
Source: Cainiu Health
Dr. Zhang Lu
Introduction
In general, if a 50-year-old woman's menstrual period lasts more than 20 days without stopping, it may be related to perimenopause, high psychological stress, poor dietary habits, adenomyosis, uterine fibroids, and other factors. It is important to maintain a balanced diet, exercise appropriately, and enhance physical fitness and immunity. At the same time, maintaining a positive mindset and avoiding anxiety and depression can contribute to overall physical and mental well-being.
Generally, if a 50-year-old woman experiences menstrual bleeding that lasts more than 20 days without stopping, it may be related to perimenopause, high psychological stress, poor dietary habits, adenomyosis, uterine fibroids, and other factors. Treatment methods such as general management and medication can be adopted under the guidance of a physician. Specific analysis is as follows:
1. Perimenopause
Women around the age of 50 are typically in the perimenopausal transition phase, during which ovarian function gradually declines. This may lead to irregular menstruation and prolonged menstrual periods. It is important to maintain a diverse and balanced diet, ensuring adequate intake of proteins, vitamins, minerals, and other nutrients to support normal metabolism and physiological functions.
2. High Psychological Stress
Anxiety and emotional stress may disrupt normal hormone levels and affect the menstrual cycle, resulting in prolonged menstruation lasting over 20 days. Maintaining regular physical activity, sufficient rest, and practicing relaxation techniques such as yoga, meditation, or listening to music can help alleviate symptoms.
3. Poor Dietary Habits
Long-term consumption of high-sugar and high-fat foods may exacerbate hormonal imbalances and prolong the menstrual cycle. It is recommended to maintain a balanced diet rich in vegetables, fruits, and whole grains, while limiting processed foods and sugar intake.
4. Adenomyosis
Adenomyosis may result from multiple factors including genetics, declining ovarian function, and elevated estrogen levels. It causes thickening and hardening of the uterine wall, impairing normal uterine contraction and relaxation, leading to prolonged menstrual periods and increased menstrual flow. Symptoms often include frequent urination, urgency, and recurrent abdominal pain. Medications such as Danazol Capsules, Gestrinone Capsules, or Compound Norethisterone Tablets may be used under medical supervision.
5. Uterine Fibroids
Uterine fibroids are commonly caused by genetic factors, poor dietary habits, and endocrine disorders. When fibroids are located within the uterine muscle wall (intramural) or under the endometrium (submucosal), they may compress uterine veins, causing congestion in the uterine venous plexus, resulting in prolonged menstruation and heavy bleeding. Symptoms often include difficulty urinating and lower abdominal pain. Medications such as Methyltestosterone Tablets, Mifepristone Tablets, or Hongjin Xiaojie Capsules may be prescribed under a doctor’s guidance.
In daily life, maintaining a balanced diet, engaging in moderate exercise, and improving physical fitness and immunity are essential. Additionally, maintaining a positive mental state and avoiding anxiety or depression contributes to overall physical and mental well-being.
