What causes heavy and prolonged menstrual bleeding?

Feb 08, 2023 Source: Cainiu Health
Disease description:

Since September 18, I've been experiencing excessive menstrual bleeding, with blood clots and heavy flow almost every day. It continued until October 26, and I don't know what's happening—my bleeding just won't stop. What could be causing such prolonged and heavy menstrual bleeding?

Doctor's answer (1)
Dr. Zhao Xiaodong
There are usually many reasons for heavy and prolonged menstrual bleeding, which may be caused by thickened endometrium in women. In addition, when a woman has endometriosis, menstrual flow may also increase and the duration may become longer. When uterine fibroids grow too large, they can also affect menstrual volume and duration, and patients should undergo color Doppler ultrasound examination. If inflammation is the cause, active treatment with anti-inflammatory medications is required. If increased menstrual flow is due to uterine fibroids, surgical removal of the fibroids may be necessary. Patients are advised to maintain a light diet, avoid spicy and irritating foods, quit smoking and alcohol, maintain regular作息 (daily routines), and avoid staying up late.