Patient's question:
Here is the English translation of your text, with line breaks preserved as they are:My menstrual cycle has been around 12 days long these past few months. Around day 7, my period starts to subside, but it's not completely clean. In the following days, sometimes I notice a slight red discharge, and other times it seems already clean. I would like to ask, what could be the reason for this? Is it related to cervical erosion, or is it due to the IUD I have? If it's related to the IUD, I've had it for about 3-4 years now. Previously, my cycle was usually around 7-8 days, which should be considered normal, right? Please help me analyze the cause of this.
Doctor's answer:
Hello, normal menstrual bleeding usually lasts 3 to 7 days, and if it exceeds 10 days, it can be considered prolonged bleeding. 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. It may also be caused by menstrual disorders, which have many reasons. Clinically, they are usually divided into two major categories: one is functional, such as menstrual disorders caused by endocrine dysfunction; the other is organic, such as pelvic inflammation, endometritis, and endometriosis, which can also cause menstrual disorders.Treatment for menstrual disorders first requires an ultrasound and six sex hormone tests to identify the specific cause. Treatment should target the primary disease, and appropriate regulation of menstrual herbs can be supplemented. Additionally, factors such as emotional repression, living environment, stimulating foods, and malnutrition during daily life can also affect menstrual disorders.