38-year-old female with prolonged menstrual cycle, low menstrual flow but prolonged duration, asking whether medication for hemostasis is needed?
A 38-year-old female patient presents with prolonged menstrual cycles, light menstrual flow, but prolonged and persistent bleeding. She is inquiring about treatment options.
Changes in the menstrual cycle and prolonged menstruation may be caused by stress, weight changes, hormonal fluctuations, ovarian dysfunction, or endometrial abnormalities.
As women age, hormonal fluctuations become more common, which may be one of the causes of menstrual irregularities.
If changes in the menstrual cycle are accompanied by increased menstrual flow, worsening dysmenorrhea, or other discomfort, or if the cycle extends beyond 7 days, this may indicate more serious health problems such as uterine fibroids, endometriosis, or endometrial hyperplasia.
Patients are advised to visit a hospital promptly for detailed examinations, including pelvic ultrasound, six sex hormone tests, complete blood count, and coagulation function tests. Additionally, maintaining personal hygiene, changing underwear frequently, and avoiding bacterial growth are recommended to prevent gynecological inflammation.