What is the situation when menstrual bleeding duration is prolonged?

Patient's question:

Patient Age: 26 years
Detailed Medical History and Reason for Consultation: Since I was 20 years old, my menstrual cycle has been every one and a half or two months, always prolonged, and the flow is light. I have not experienced dysmenorrhea or other symptoms, so I did not seek treatment. I got married last May Day, and since last November, my periods have started coming earlier again, every two or three weeks. Sometimes the bleeding duration extends to three weeks or a month, and the flow is sometimes heavy and sometimes light, with blood clots. I have not experienced dysmenorrhea or other symptoms, but I have been constantly breaking out on my face.
History of Previous Diagnoses and Treatments and Their Effects: I have been to the hospital four times and had three ultrasound examinations.

Doctor's answer:

Hello! If you have prolonged menstruation with continuous bleeding, it may be due to functional uterine bleeding. Additionally, gynecological conditions such as uterine fibroids or endometrial diseases may also cause this symptom. It is recommended to visit a hospital for blood tests to check hormone levels and undergo a gynecological ultrasound to identify the cause. Based on your hormone levels, appropriate hormonal medications can be prescribed to regulate your period and stop the bleeding. Currently, if the bleeding does not stop, you can also take tranexamic acid tablets for symptomatic treatment.

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