What is the definition of a long menstrual period?

Patient's question:

Detailed medical condition and consultation purpose: My menstrual period is long, usually lasting 7 days to completely clean up, sometimes extending to 10 days. What could be the reason? What medicine should I take to regulate it? Additionally, during menstruation, I have a sense of distension and pain near the ovaries, which disappears after the period ends. Is it related to the tubal hydrosalpinx performed two months ago? Is it due to tubal inflammation? I am planning to get pregnant. What should I do?

Doctor's answer:

Hello: Menstrual cycle length refers to a condition where the cycle is generally normal, but the duration of menstruation extends beyond 7 days, also known as continuous menstruation. It is divided into two types:
Blood Stasis Type:
- General Symptoms: Painful and tender lower abdomen, menstruation lasting more than 8 days with a small amount of flow, dark-colored blood with clots, a tongue with petechiae, and a wiry, (sluggish) pulse.
- Treatment: Promote blood circulation, remove stasis, and stop bleeding.
- Medication: Taohong Siwu Decoction plus Shixiao Powder and Leonurus japonicus.
Yin Deficiency and Blood Heat:
- General Symptoms: Dry throat and mouth, hot flashes, heat in the palms and soles, menstruation lasting more than 8 days with a small amount of flow, bright red and viscous blood, a red tongue with little moisture, and a thready, rapid pulse.
- Treatment: Nourish yin, clear heat, and stop bleeding.
- Medication: Liangdi Decoction combined with Erzhi Pills, plus Rubia, Leonurus japonicus, Ligustrum japonicum, and Eclipta prostrata.
However, Traditional Chinese Medicine emphasizes syndrome differentiation and treatment. It is best to consult a local traditional Chinese medicine hospital for diagnosis and treatment. Wishing you a speedy recovery.

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