Should a longer menstrual cycle be regulated?

Patient's question:

I would like to ask about the contents of pre-pregnancy tests. I had a miscarriage in July of this year. Do I need to add or focus on certain examination items? Also, my menstrual cycle is quite long, about 40 days. Do I need to regulate it? I really need your help. Thank you!

Doctor's answer:

Normal menstrual bleeding usually lasts 3 to 7 days, and if it exceeds 10 days, it can be considered prolonged. Excessive menstrual bleeding can be caused by many factors, common ones include: fatigue during the period, exposure to cold, endocrine disorders, IUD insertion, gynecological inflammation, uterine fibroids, blood diseases, liver or kidney lesions, abnormal endometrium, etc. After the bleeding stops, it is necessary to check the six sex hormones and perform an ultrasound to identify the cause and then provide symptomatic treatment. Hemostatic drugs may be used if necessary. Pay attention to keeping warm and resting during the period.

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