What is the reason for too long menstrual period?

Patient's question:

Patient: Female, 47 years old, previously in good health. This time the condition: It has been 19 days since her menstrual period started and it has not stopped yet.

Doctor's answer:

Hello, there are many reasons that can cause excessive menstrual bleeding. It may be due to endocrine disorders, or it may be caused by systemic and local factors. Common causes include uterine fibroids, especially submucosal uterine fibroids. Even small-sized fibroids can cause excessive menstrual bleeding. The next are adenomyosis and pelvic endometriosis. Due to factors such as the endometrium growing into the uterine muscle wall and the uterus enlarging, the amount of menstrual flow is often relatively large.

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