If menstruation does not stop for a long time, it is possible that firstly, pregnancy-related abnormal bleeding should be excluded, and secondly, whether it is caused by endocrine disorders or diseases such as uterine fibroids, endometrial polyps, etc. A comprehensive examination should be carried out to determine the cause of the disease, and according to the different causes, medication or surgery should be taken to treat the disease.
1. Pregnancy-related bleeding, women of childbearing age with abnormal menstruation, such as prolonged menstruation, should first consider whether it is abnormal bleeding caused by pregnancy, and need to improve the blood HCG for further clarification.
2. Secretion disorders, polycystic ovary syndrome, or women in perimenopause, puberty, due to abnormal ovulation can cause menstruation for a long time. This kind of disease should be taken according to the individual situation of drug treatment, commonly used drugs are ethinyl estradiol cyproterone tablets, progesterone capsules, combined with estrogen tablets and so on. Perimenopausal women who are unable to take medication can also consider diagnostic scraping surgery to stop bleeding.
3. Uterine fibroids, large uterine interstitial fibroids and submucous fibroids can affect uterine contraction during menstruation, thus causing prolonged menstruation. If the symptoms are mild and near menopausal age, medication can be taken, such as gonadotropin-releasing hormone analogs and mifepristone, which can inhibit the growth of fibroids and relieve the symptoms at the same time.
Larger fibroid and obvious symptoms should be treated by surgery, such as myomectomy and hysterectomy, which can be performed vaginally, abdominally or laparoscopically, and should be reasonably chosen according to the age and fertility requirements.
4. Endometrial polyps, endometrial polyps can stimulate the endometrium to cause irregular shedding, thus causing prolonged menstruation, vaginal bleeding and other symptoms. The disease is now mostly removed by hysteroscopic surgery.
During the bleeding period, you should pay attention to vulvar cleanliness, avoid sexual intercourse, and visit your doctor as soon as possible to determine the next step.