What exactly is going on with prolonged periods?

We all know that every woman has menstruation every month, and each girl's menstrual cycle is different. Under normal circumstances, a woman's menstrual cycle should be around 28 to 35 days, and the duration of each menstruation should not be too long or too short. Usually five to seven days is more normal. If the menstrual period is too long or too short, it is also a manifestation of irregular menstruation. So what are the possible causes of prolonged menstruation?

Blood disorders

Such as thrombocytopenic purpura, aplastic anemia, etc., are often accompanied by menstruation. If severe uterine bleeding occurs, the menstrual period will be prolonged.

Other conditions such as chronic anemia, chronic hepatitis, cirrhosis, nephritis, etc. can make the blood vessel walls fragile, increase permeability and cause bleeding.

Pelvic Inflammatory Disease

Pelvic inflammation, intrauterine polyps, endometritis, etc. are all caused by poor intrauterine blood circulation, degeneration and necrosis, or pelvic congestion, which lead to excessive menstruation and prolonged menstruation.

Chronic uterine hypertrophy (myometritis)

Due to pelvic congestion, ovarian estrogen continues to increase, causing thickening of the uterine muscle layer, resulting in excessive menstruation and prolonged menstruation.

Uterine fibroids

Especially for submucosal uterine fibroids, due to the expansion of the uterine cavity area and abnormal contraction, it can cause menorrhagia and prolonged menstruation.

Dysfunctional uterine bleeding

For example, anovulatory dysfunctional uterine bleeding and irregular endometrial shedding both cause prolonged menstruation due to endocrine dysfunction.

Endometriosis

It often causes menorrhagia or prolonged menstruation due to affecting the contraction of the uterine muscle layer or strengthening the endometrium.

A menstrual cycle of 35 days is also within the normal range. But if your cycle is significantly longer than this, it's time to see a doctor.

Mental preparation: The doctor will first confirm whether you are pregnant. If not, he will check the hormone levels in your blood. If estrogen levels are too low, the endometrium cannot be produced normally; if progesterone levels are too low, the endometrium cannot be shed normally.

A prolonged menstrual cycle may also be a sign of polycystic ovarian cysts (PCOS). PCOS is characterized by the growth of tiny cysts on the ovaries, which prevents ovulation. Physical symptoms include weight gain, increased body hair due to increased androgen, acne on the face, etc.

The article introduces the possible causes of delayed menstruation. There are many manifestations of irregular menstruation, such as early menstruation, delayed menstruation, heavy menstruation, light menstruation, long menstrual cycle, short menstrual cycle, menstrual abdominal pain, etc. These are all manifestations of irregular menstruation. When these symptoms appear in the body, we must pay attention, as it is likely that the body is suffering from disease or endocrine disorder. Needs adjustment and inspection.