Is excessive menstruation a concern?

Patient's question:

13-year-old girl, her first menstrual period.
Excessive menstrual blood flow, sitting for a long time, standing up will feel like blood flowing down.

Doctor's answer:

Excessive menstrual bleeding or prolonged duration. Commonly seen in conditions such as uterine fibroids, endometrial polyps, endometrial hyperplasia, and endometriosis. If the examination does not reveal any organic lesions, functional uterine bleeding should be considered. This refers to abnormal uterine bleeding caused by endocrine regulatory system disorders, with no obvious organic lesions in the internal or external genitalia. It is the most common type of menstrual disorder. It is recommended to undergo a check-up to identify the underlying cause and seek timely treatment.

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