What causes menstrual bleeding that doesn't stop for a month in a 50-year-old woman?

Generally, in women around the age of 50, prolonged menstrual bleeding lasting a month may be caused by endocrine disorders, endometrial polyps, endometritis, endometriosis, uterine fibroids, or other factors. If experiencing discomfort, timely medical consultation is recommended. Detailed explanations are as follows:

1. Endocrine Disorders

Women around the age of 50 are in the perimenopausal period, during which ovarian function gradually declines, leading to fluctuations in estrogen levels and resulting in endocrine disorders. Maintaining regular sleep patterns, balanced nutrition, and moderate exercise is advised.

2. Endometrial Polyps

Endometrial polyps are benign growths formed by localized overgrowth of the endometrium, which may cause prolonged menstrual bleeding, extended menstrual periods, or increased menstrual flow. Patients can take medications such as Amoxicillin Capsules, Cefuroxime Axetil Tablets, and Gongxue Ting Granules under the guidance of a professional physician.

3. Endometritis

Endometritis is an inflammatory condition of the endometrium that may cause congestion and edema of the endometrium, affecting its normal regeneration and shedding process, thereby causing prolonged menstrual bleeding. Symptoms may include lower abdominal pain and increased vaginal discharge. Patients should follow medical advice to take medications such as Metronidazole Tablets, Levofloxacin Tablets, and Clindamycin Hydrochloride Capsules.

4. Endometriosis

Endometriosis may be associated with endometrial implantation, immune dysfunction, genetic factors, and environmental influences. In endometriosis, endometrial tissue located outside the uterus also proliferates and sheds with the menstrual cycle but cannot be expelled from the body through the vagina like normal endometrium, leading to bleeding and pain, often accompanied by dysmenorrhea and pain during sexual intercourse. It is recommended to take medications such as Dienogest Tablets, Gestrinone Capsules, and Mifepristone Tablets under medical supervision.

5. Uterine Fibroids

Uterine fibroids are associated with unhealthy lifestyle habits and sexual practices. Fibroids can cause uterine enlargement and pressure on surrounding blood vessels and tissues, leading to abnormal bleeding, and may be accompanied by symptoms such as constipation and anemia. Patients may take medications such as Duanxueliu Capsules, Mifepristone Tablets, and Fuxue Kang Granules under the guidance of a qualified physician.

Adequate rest and avoiding excessive fatigue and mental stress can help alleviate bleeding symptoms.