Perimenopause is now called perimenopause, and the term “menstrual period” is generally used to refer to a woman’s period. Perimenopausal menstruation that is not clean for more than 20 days can be treated with hormone therapy, oral medication to stop bleeding, hysterectomy, surgery and other treatments.
1. Hormone therapy: the unclean menstruation for more than 20 days during the perimenopausal period may be related to the reduced level of hormone secretion in the body due to the decrease of ovarian function, which can be treated by using progestins, such as dextroprogesterone, progesterone, etc.; and estrogen-progestogen complex preparations, such as estradiol valerate tablets/estradiol cyproterone tablets, estradiol tablets/estradiol dextroprogesterone tablets, etc. can also be used.
2. Oral hemostatic drugs: If the bleeding is not much, you can take oral hemostatic drugs to stop bleeding, such as 6-aminoacetic acid, tranexamic acid and so on.
3. Cleansing: If the menstruation continues to be unclean, you can take the treatment of cleansing the uterus to achieve the purpose of stopping the bleeding quickly. The removed endometrial tissue should be sent for pathological examination to further clarify whether there is endometrial pathology.
4. Surgery: For repeated prolonged menstruation, ineffective conservative treatment, or endometrial lesions, surgical treatment, such as total hysterectomy via abdominal or laparoscopic operation, can be adopted.
There are many reasons why perimenopausal menstruation does not stop for more than 20 days, so it is recommended to consult a doctor in time, complete the relevant examinations, and clarify the cause of the disease under the guidance of a professional doctor, so as to provide targeted treatment. The above drugs should be used under the guidance of clinicians to avoid adverse reactions.