What causes prolonged menstrual bleeding?
Menstrual bleeding that does not stop may typically be related to factors such as early puberty, perimenopause, endocrine disorders, endometriosis, and endometrial polyps. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under the guidance of a qualified physician. Specific analyses are as follows:
1. Early Puberty
During early puberty, ovarian function has not yet fully matured, and levels of estrogen and progesterone may be unstable, potentially leading to menstrual cycle irregularities and prolonged periods. Maintaining healthy eating habits in daily life can help regulate the menstrual cycle.
2. Perimenopause
In the perimenopausal period, ovarian function begins to decline and hormone levels fluctuate significantly, which may result in persistent menstrual bleeding. Ensuring adequate sleep and a healthy diet can help restore normal hormone levels.
3. Endocrine Disorders
Endocrine imbalances caused by chronic sleep deprivation, excessive anxiety, or poor dietary habits may lead to abnormally elevated estrogen levels, resulting in prolonged menstrual cycles. Symptoms may include mood swings and acne. Medications such as vitamin E soft capsules, Yimucao granules, and Kuntai capsules may be used under medical supervision to regulate endocrine function.
4. Endometriosis
Endometriosis is often associated with genetic factors, improper diet, and abnormal immune responses. The displaced endometrial tissue may interfere with normal shedding of the uterine lining, causing prolonged menstruation, along with symptoms such as dysmenorrhea, painful intercourse, and infertility. Treatment may include medications such as compound norethisterone tablets, medroxyprogesterone acetate tablets, and mifepristone capsules, as advised by a physician.
5. Endometrial Polyps
Excessively high estrogen levels may cause overgrowth of the endometrium, leading to endometrial polyps. As polyps enlarge, they may damage the endometrial lining, preventing complete shedding during menstruation and resulting in persistent bleeding. Symptoms may include increased vaginal discharge and infertility. Medications such as Gongxueting granules, aminomethylbenzoic acid tablets, and cefdinir dispersible tablets may be used under medical guidance to alleviate symptoms.
Adequate rest, attention to menstrual hygiene, frequent changing of sanitary pads, and minimizing bacterial growth are recommended in daily life.