What are the reasons for a long duration of menstrual bleeding with a small amount of flow and abdominal pain?

Patient's question:

I used to have very regular menstruation, and the amount of blood flow was also quite normal, lasting about five days. Recently, however, my menstrual flow has been very light, lasting for a whole month, with significant abdominal pain, which is very painful. I am desperate to know what is causing the low flow, prolonged duration, and severe abdominal pain?

Doctor's answer:

If the menstrual flow is always very light and lasts for a month without stopping, it may be related to endometrial hyperplasia. In this case, it is recommended to visit the gynecology department of a hospital for an ultrasound examination. If endometrial hyperplasia leads to continuous menstrual bleeding, it is advisable to undergo a diagnostic curettage and medication treatment. If there are no issues with the endometrium, it is recommended to use progesterone and medication, followed by a hysteroscopy examination after the menstrual period is clean. The recurrence of gynecological diseases poses a serious threat to women's health. Patients need to pay attention to post-menstrual follow-up in daily life, maintain a light diet, and avoid spicy and irritating foods. Finally, we hope that female patients can receive effective treatment.

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