Under normal circumstances, women's menstruation lasts about 3-7 days each month. Due to the different physical conditions of each person, some people's menstruation has not stopped for more than 10 days and there is still menstrual bleeding. When this happens, it is best to go to the hospital for examination to see what causes the unclean menstrual blood, because this situation is often caused by illness. Ovulation bleeding Some women have a shorter menstrual cycle and are prone to bleeding. The ovulation period and menstrual period overlap, which can cause menstruation to not end after ten days. This is mainly because during ovulation, women's estrogen levels drop, and part of the endometrium loses the support of estrogen and falls off, causing vaginal bleeding and the phenomenon of menstruation not ending after ten days. Drug factors If your period has not ended after ten days and you are taking emergency contraceptive pills, psychiatric drugs, etc., it is likely that the cause is drug factors, because these drugs can affect the body's hormone regulation and cause prolonged menstruation. Sheung Wan Women who do not desire to have children will take contraceptive measures such as inserting an IUD. However, the insertion of an IUD will damage the endometrium and cause vaginal bleeding. Women whose menstruation has just finished will have "menstruation" again after the IUD is inserted, and their menstruation may not have finished for ten days. Gynecological diseases If your menstrual period is still not over after ten days, it is probably caused by gynecological diseases, such as: 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 often causes menorrhagia or prolonged menstruation due to affecting the contraction of the uterine muscle layer or due to endometrial enhancement. Systemic diseases The prolonged menstruation in some women is not caused by gynecological diseases, but by more serious blood diseases, such as thrombocytopenic purpura, aplastic anemia, leukemia and other diseases, which will make it difficult to stop bleeding during the menstrual period, resulting in continuous bleeding and prolonged menstruation. In addition, chronic anemia, chronic hepatitis, cirrhosis, nephritis, etc. can make the blood vessel walls fragile, increase permeability and cause bleeding. |
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