What causes heavy and prolonged menstrual bleeding?

Feb 08, 2023 Source: Cainiu Health
Disease description:

In recent months, my menstrual period has been unusually heavy and prolonged. Previously, my period would last 4–5 days, but now it lasts about 9 days. The menstrual flow is also much heavier than before. What could be causing this increased menstrual flow and prolonged duration?

Doctor's answer (1)
Dr. Lv Aiming
Heavy and prolonged menstrual bleeding may be caused by endocrine disorders, characterized by increased menstrual flow, extended periods, or even persistent spotting. Women suffering from endometritis may experience prolonged menstruation, continuous spotting, abdominal pain, and other symptoms. Accurate diagnosis requires evaluation based on individual circumstances, combined with ultrasound and hormonal testing. Hormonal medications should be used to regulate endocrine imbalances causing heavy menstrual bleeding. If underlying conditions such as uterine fibroids or endometrial polyps are responsible for excessive menstruation, surgical intervention may be necessary.