At the age of 48, menstrual periods lasting more than 20 days may be caused by perimenopausal syndrome, endometriosis, uterine fibroids, etc. Patients need to follow the doctor’s instructions for medication, general measures, etc., and, if necessary, surgical treatment is also required.
1. Perimenopausal syndrome: Usually, patients need to follow the doctor’s instructions to use estrogen medication such as estradiol valerate, and can also use progesterone such as micronized progesterone and dydrogesterone. Patients can also use estrogen-progestogen combination drugs such as estradiol drospirenone tablets and estradiol dydrogesterone tablets.
2. Endometriosis: patients can follow the doctor’s instructions to use medroxyprogesterone acetate, medroxyprogesterone and other progestational drugs. At the same time, patients can also use progesterone and other drugs, can make the ectopic endometrium atrophy and amenorrhea, so as to achieve the effect of radical cure. If medication is not effective, transabdominal and translaparoscopic surgery should be performed as prescribed by the doctor.
3. Uterine fibroids: Usually, patients need to be treated with gonadotropin-releasing hormone analogs to reduce the size of fibroids. The treatment can also be done with hemostatic drugs such as tranexamic acid or compound oral contraceptives such as norethindrone tablets and medroxyprogesterone acetate tablets, so as to improve the situation of excessive menstruation. At the same time, patients also need to take myomectomy, hysterectomy, etc. under the guidance of the doctor.
All of the above drugs should be used under the guidance of a doctor with clear indications and contraindications. It is recommended that 48-year-old patients with menstrual periods up to 20 days should actively seek medical treatment.