Patient's question:
I am 41 years old. My last menstrual period was on July 24th. On August 11th, I had a small amount of bleeding, which continued until September 2nd when my period arrived normally. However, this time, my period has been ongoing for half a month, with heavy bleeding. What could be the reason?Doctor's answer:
Hello, there is a possibility that your condition may be functional uterine bleeding. The occurrence of normal menstruation is based on the end of the corpus luteum period after ovulation, the withdrawal of estrogen and progesterone, and the shedding of the endometrium leading to bleeding. Your bleeding is prolonged and the amount is relatively large. It is recommended that you go to the hospital promptly for an ultrasound examination to check the thickness of the endometrium and whether there is endometrial hyperplasia. Additionally, blood tests should be conducted to determine if anemia has already developed. Under the guidance of a doctor, medication should be used for treatment. If the endometrium is too thick, a D&C procedure may be necessary. If anemia is present, iron supplements and hematopoietic drugs should be taken promptly. After the bleeding stops, you should go to the hospital and, under the guidance of a doctor, take medication to regulate the artificial menstrual cycle.