What are the reasons for irregular menstruation that lasts nearly a month to clean up?

Patient's question:

A colleague's menstrual period lasted nearly a month last month. Before it started, she had been experiencing breast tenderness and swelling. During the first few days of her period, she also had menstrual cramps. Doctor, I would like to consult about the reason for her menstrual irregularity lasting nearly a month. Is there any medication that can treat this symptom?

Doctor's answer:

Menstruation lasts for a month to clear, with menstrual bleeding that does not stop completely. The reasons for this symptom may be due to simple endocrine dysfunction, or it could be caused by gynecological conditions such as uterine fibroids, endometrial polyps, or endometritis. Only when the specific cause is identified can targeted treatment be implemented. It is advisable to promptly visit a regular public hospital's gynecology department for a follow-up examination, including a magnetic resonance imaging (MRI) of the uterus and ovaries, as well as a blood test for six sex hormones. After the cause is determined, treatment can be carried out.

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