Is it uterine fibroids that cause irregular menstruation?

Patient's question:

The last menstrual period was on January 28th, and since then (as of February 15th), it has been continuous without stopping, accompanied by a foul odor.

Doctor's answer:

Now, if the menstrual period is not clean, you can take progesterone medication to treat it, allowing the endometrium to shed all at once and stop bleeding. It is not ruled out that it may be related to the intrauterine device (IUD). It is recommended to use medication for treatment first, and it is not advisable to remove the IUD. Only if it is confirmed that the IUD is the cause should it be recommended to remove the IUD.

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