How to handle a longer menstrual period

Patient's question:

Detailed medical condition and consultation purpose: My menstrual period is relatively long. Before using a ring, it took 5-7 days to complete, but after using a ring, it takes 10-15 days. Only two days during this period have a heavy flow, while the rest of the time has a light flow. What should I do?
Duration and persistence of the current illness: 3.5 years
Previous diagnoses and treatment history and effectiveness: No treatment

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: Lower abdominal pain that is resistant to pressure, 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 Principle: Promote blood circulation, remove stasis, and stop bleeding.
- Medication: Taohong Siwu Decoction plus Shixiao Powder and Leonurus cardiaca.
Yin Deficiency with Blood Heat:
- General Symptoms: Dry throat, dry mouth, night sweats, 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 Principle: Nourish yin, clear heat, and stop bleeding.
- Medication: Liangdi Decoction combined with Erzhi Pills, plus Rubia, Leonurus cardiaca, Ligustrum japonicum, and Eclipta prostrata.
However, Traditional Chinese Medicine emphasizes syndrome differentiation and treatment. It is best for you to consult a local traditional Chinese medicine hospital. Wishing you a speedy recovery.

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