Patient's question:
In the past few months, my menstrual period has been longer than usual, typically lasting 8 to 9 days, sometimes even 10 days. The flow is very light at both the beginning and the end, and the color is not good. There are two days in the middle when it's heavier. However, my menstrual cycle is still quite regular, usually around 28 to 30 days. What could be the reason for this? What tests should I undergo? How should I regulate it? Thank you!First follow-up question: I used to have a very regular cycle, but after taking a bottle of ovarian health capsules and natural Acai berry capsules, it's been like this. Could this be related to the medication? How can I regulate it?
Doctor's answer:
There are many factors that can cause changes in the duration of menstruation. Common ones include the following:1. Systemic diseases. Such as chronic anemia, chronic hepatitis, cirrhosis, nephritis, and other systemic diseases, can lead to issues like fragile uterine walls and increased permeability, which in turn may cause prolonged menstruation.
2. Pelvic inflammatory disease, endometritis. Pelvic inflammatory disease or endometritis can cause problems such as poor blood circulation in the endometrium, degeneration and necrosis, or pelvic congestion, leading to prolonged menstruation in women.
3. Uterine fibroids. Uterine fibroids in women, especially submucosal fibroids, can cause the uterine area to enlarge and lead to abnormal contractions, which may result in prolonged menstruation.
4. Uterine dysfunction. Conditions like anovulatory dysfunctional uterine bleeding and irregular endometrial shedding are both caused by endocrine dysfunction, leading to prolonged menstruation.
5. Endometriosis. Endometriosis may also cause the uterine muscle layer to contract, which can be affected or lead to endometrial hyperplasia, resulting in prolonged menstruation in patients.
6. Blood disorders. Such as thrombocytopenic purpura and aplastic anemia, can cause prolonged menstruation due to coagulation disorders during menstruation.