Patient's question:
Medical Description: Hello, may I ask if I have been using a spiral for a year and a half? Now, my menstruation occurs once a month, but the duration is particularly long, lasting about twenty days. Is this normal? The first week has a light flow, followed by three or four days of heavy flow, and then four days of light flow again, until it gradually stops. Is this caused by the spiral not being suitable for me?History of Treatment and Effect: I have not received any treatment for this. Now, I want to remove the spiral.
Help Needed: The first week has a light flow, followed by three or four days of heavy flow, and then four days of light flow again, until it gradually stops. Is this caused by the spiral not being suitable for me?
Doctor's answer:
Hello, under normal circumstances, the menstrual period lasts for 3-7 days. If your bleeding duration extends to over 20 days, it is considered a prolonged menstrual period, which can be caused by factors such as low estrogen levels, uterine fibroids, submucosal uterine polyps, endometritis, and others. This condition can be treated conservatively under the guidance of a doctor with hemostatic medications and anti-inflammatory drugs. If the treatment is not effective, a diagnostic dilation and curettage (D&C) should be performed. This procedure serves two purposes: to stop bleeding and to examine the condition of the endometrium, allowing for symptomatic treatment.