What are the reasons for heavy menstrual bleeding?

Patient's question:

No.

Doctor's answer:

There are many causes of excessive menstrual bleeding:
1. Excessive secretion of estrogen by the ovaries, which stimulates the endometrium to thicken beyond normal levels over a long period, leading to increased blood loss during shedding, such as in 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 can also lead to excessive bleeding.

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