The normal amount of menstrual blood is usually 50-80ml, usually the most bleeding on the 2nd-3rd day of menstruation. Heavy menstrual flow may lead to anemia and symptoms of palpitations, general weakness, and insomnia.
The occurrence of heavy menstrual flow on the sixth day may be caused by genital inflammation. The female reproductive organs are more susceptible to bacterial attack, leading to inflammation that causes menstrual bleeding that does not clot easily, causing increased menstrual flow and prolonged periods. In addition, endometriosis can also cause increased menstrual flow. Ectopic endometriosis interferes with the normal function of other organs and can be associated with prolonged periods and dysmenorrhea. Interstitial and submucosal fibroids can cause excessive menstruation, if accompanied by shortened menstrual cycle and irregular bleeding. Patients in the age group will have excessive menstrual bleeding due to hypothalamic underdevelopment during puberty, which calls for endocrine disorders and the amount of estrogen is not enough to maintain the growth of the endometrium. Blood disorders such as leukemia, thrombocytopenic purpura, hemophilia, and aplastic anemia can also lead to increased menstruation because the blood can be difficult to clot due to abnormalities in the coagulation system, which can lead to heavy menstruation and prolonged bleeding. Abnormal vaginal bleeding can also be associated with improper birth control practices, such as using birth control pills without a prescription and wearing a uterine ring.