What causes excessive menstrual bleeding

Patient's question:

The menstrual flow is too heavy, starting from December 14th to 17th, it is still very large.

Doctor's answer:

Hello! There are many causes of excessive menstrual bleeding.
1. Excessive secretion of estrogen by the ovaries, or prolonged stimulation of the endometrium leading to its proliferation beyond normal thickness, resulting in increased blood loss during shedding. Examples include anovulatory functional uterine bleeding.
2. Organic lesions in gynecology. Such as uterine fibroids, uterine polyps, etc.
3. Systemic diseases. Such as leukemia, aplastic anemia, thrombocytopenia, pernicious anemia, liver disease, hypertension, etc.
4. Emotional factors, fatigue, postpartum, and intrauterine devices can also cause heavy menstrual bleeding.
5. In some patients, a rich supply of spiral arteries in the endometrium or increased vascular fragility may also lead to this condition. This requires detailed examination to clarify the disease and provide appropriate treatment.

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