A woman’s menstrual period that is not clean for ten days may be caused by intrauterine device, uterine fibroids, pubertal dysmenorrhea, endometrial hyperplasia, etc., and treatment can be given according to the specific situation. If intrauterine device (IUD), you can take oral tranexamic acid to stop bleeding or take out the IUD; if uterine fibroids, you can take oral mifepristone and other medications as prescribed by the doctor or surgical treatment. 1. Intrauterine device (IUD): The IUD is too big and the contact area between the uterine cavity and the IUD is too large, which can lead to women’s menstrual period not being clean for ten days. Oral tranexamic acid should be given to stop bleeding as prescribed by the doctor, and the IUD should be removed if the bleeding is heavy and the oral medication is ineffective. 2. Uterine fibroids: uterine fibroids increase the area of the endometrium, causing heavy menstrual flow, and menstruation is not clean for ten days. Oral mifepristone and other medications should be given as prescribed by the doctor. If the bleeding is heavy and the oral medication is ineffective, myomectomy or total hysterectomy should be given. 3. Adolescent dysmenorrhea: adolescent girls have anovulatory abnormal uterine bleeding due to the imperfect function of the hypothalamus-pituitary-ovary and the ovaries do not ovulate. The doctor may give intramuscular injection of estradiol benzoate to control bleeding and oral short-acting contraceptive pills to regulate menstrual cycle. 4. Endometrial hyperplasia: lack of progesterone antagonism in the endometrium and stimulation by a single estrogen cause endometrial thickening, increased menstrual flow and prolonged menstrual period. Diagnostic scraping is given, endometrium without malignant lesions, oral dextroprogesterone tablets, medroxyprogesterone acetate tablets treatment; endometrial atypical hyperplasia, more hysterectomy is given. It is recommended that patients consult regular hospitals in a timely manner, and individualized treatment is given under the guidance of doctors.