What should I do if I have thickened endometrium and prolonged menstrual bleeding?
Disease description:
When the next menstrual cycle arrives, some thickening of the endometrium occurs, which is a normal phenomenon. However, my friend may experience prolonged bleeding due to endometrial thickening, possibly caused by an underlying condition. What should be done if excessive endometrial thickening leads to persistent menstrual bleeding?
Doctor's answer (1)
Dr. Zhao Xiaodong
Endometrial thickening with menstrual bleeding may indicate anovulatory abnormal uterine bleeding or endometrial lesions, including endometrial precancerous conditions and endometrial cancer. A normal menstrual period lasts 3–7 days; if menstruation continues beyond 7 days or vaginal bleeding occurs outside the regular menstrual period, it is considered abnormal uterine bleeding. If vaginal bleeding is mild and the patient’s general condition is good without significant anemia, treatment with progesterone can be used, which is equivalent to a medical curettage. In cases of heavy vaginal bleeding accompanied by anemia, short-term oral contraceptive pills may be administered; after bleeding stops for 3 days, the dosage should be gradually tapered until anemia is corrected, then discontinued 21 days after the bleeding has stopped.
