Why is my menstrual period lasting more than twenty days without stopping?

Generally, if menstruation lasts for more than twenty days without stopping, it might be caused by environmental changes and stress, improper diet and exercise, luteal phase deficiency, endometritis, or endometrial hyperplasia. The solution should be selected according to the specific cause to achieve effective treatment. It is important to seek medical attention promptly and follow medical advice for treatment. Details are as follows:

1. Environmental Changes and Stress: Sudden changes in living environment or excessive mental stress can affect the female endocrine system, leading to abnormal regulation of the hypothalamic-pituitary-ovarian axis, which may cause prolonged menstrual cycles and mood swings. Adjust lifestyle habits, maintain regular作息 (作息 translates as作息 time), avoid staying up late and overexertion. Appropriate psychological counseling or therapy may help relieve mental stress.

2. Improper Diet and Exercise: Unhealthy eating habits such as excessive dieting or binge eating, along with inappropriate exercise, such as intense physical activity or lack of exercise, may affect the hormonal balance in the body, leading to prolonged menstrual cycles and weight changes. Adjust dietary habits to maintain a balanced diet rich in protein, vitamins, and minerals. Engage in moderate physical activity to enhance physical fitness and immunity.

3. Luteal Phase Deficiency: The corpus luteum is an endocrine structure formed in the ovary after ovulation, secreting progesterone to maintain the growth of the endometrium. If luteal function is inadequate, progesterone secretion decreases, preventing timely shedding of the endometrium and causing prolonged menstrual cycles. Under a doctor's guidance, medications such as progesterone capsules, dydrogesterone tablets, or medroxyprogesterone acetate tablets may be used to supplement the deficient progesterone.

4. Endometritis: Endometritis is an inflammation of the endometrium caused by bacterial infection. The inflammation causes edema and congestion of the endometrial tissue, disrupting the normal physiological cycle, prolonging menstruation, and often accompanied by increased vaginal discharge. Under medical guidance, antibiotics such as metronidazole tablets, clindamycin hydrochloride capsules, or moxifloxacin hydrochloride tablets may be prescribed for treatment.

5. Endometrial Hyperplasia: Endometrial hyperplasia is a pathological change primarily caused by elevated estrogen levels in the body, resulting in excessive growth of endometrial cells. This leads to thickening of the endometrium, causing prolonged menstrual periods and associated symptoms. Under medical guidance, drugs such as norethisterone capsules, danazol capsules, or mifepristone capsules may be used to regulate hormone levels.

Maintaining a healthy lifestyle daily can help prevent prolonged menstrual cycles.