Why is my period more than 7 days. 16 Causes of Prolonged Periods: Understanding Abnormal Menstrual Bleeding
Why do some periods last longer than 7 days. What are the common causes of prolonged menstrual bleeding. How can you find relief from abnormally long periods. When should you seek medical attention for extended menstrual cycles.
Understanding Normal Menstrual Cycles
Menstrual cycles can vary significantly from person to person. While the average cycle lasts 28 days, it’s important to note that cycles ranging from 21 to 35 days are considered normal. Cycles shorter than 21 days may indicate early or absent ovulation, while those longer than 35 days suggest irregular or no ovulation. A period lasting more than 7 days can also be a sign that ovulation hasn’t occurred.
Is there a standard duration for menstrual periods? Most periods typically last between 3 to 7 days. However, it’s crucial to understand that what’s normal for one person may not be for another. Tracking your menstrual cycle can help you identify your personal patterns and any deviations from them.
Medications Affecting Menstrual Cycles
Various medications can influence the length and flow of menstrual periods. Understanding these effects can help you better manage your menstrual health.
Nonhormonal Medications
Certain over-the-counter and prescription medications can impact menstrual cycles:
- Anticoagulants (e.g., aspirin): Can prolong periods or cause heavier flows
- Nonsteroidal anti-inflammatory drugs (NSAIDs): May lead to lighter flows
- Antidepressants and epilepsy medications: Can cause irregular, longer, or shorter periods
How long should you wait before consulting a doctor about medication-related menstrual changes? If these changes persist for more than three months or cause significant concern, it’s advisable to seek medical advice.
Hormonal Birth Control
Various forms of hormonal birth control can affect menstrual cycles:
- Combination pills, mini pills, implants, rings, patches: May lead to lighter flows or shorter cycles
- Hormonal IUDs: Can result in shorter periods or no periods
- Copper IUDs: May cause longer or heavier periods
- Birth control shots: Can lead to prolonged menstrual flow in some cases
Should you be concerned about menstrual changes after starting a new form of birth control? While some changes are expected, it’s best to discuss any worrying side effects with your healthcare provider.
Ovulation-Related Causes of Prolonged Periods
Delayed or late ovulation can directly impact the length of your menstrual period. When ovulation occurs later than usual, it can lead to a build-up of the uterine lining, resulting in a heavier and delayed period.
Causes of Late Ovulation
- Stress
- Thyroid disease
- Polycystic ovary syndrome (PCOS)
- Breastfeeding
- Certain medications
Can you identify late ovulation without medical tests? Yes, some common signs include a rise in basal body temperature, side or lower abdominal pain, and an increase in cervical discharge.
Emergency Contraception and Menstrual Changes
Emergency contraception, often referred to as the morning-after pill, can cause temporary changes in your menstrual cycle. These changes typically affect only the first period after taking the medication and may include:
- Early or late periods
- Heavier or lighter flows
- Longer flows
- Changes in menstrual pain levels
- Light spotting before the next period
Are prolonged menstrual changes after taking emergency contraception normal? While some changes are expected, persistent irregularities beyond the first period after taking the medication warrant medical attention.
Post-Abortion Menstrual Changes
Both surgical and medical abortions can affect subsequent menstrual cycles. It’s important to distinguish between post-abortion bleeding and your first period after the procedure.
Post-Abortion Bleeding
This bleeding results from tissue releasing from the uterus and is not the same as a menstrual period. The duration and intensity can vary depending on the type of abortion performed.
First Period After Abortion
The first menstrual period after an abortion may differ from your typical cycle:
- After surgical abortion: Periods may be shorter
- After medical abortion: Periods may be longer
- Delayed menstruation due to lingering pregnancy hormones
When should you expect your first period after an abortion? While it varies, most people experience their first period within 4-8 weeks after the procedure. If you haven’t had a period within 8 weeks, consult your healthcare provider.
Underlying Medical Conditions Causing Prolonged Periods
Several medical conditions can lead to abnormally long or heavy periods. Understanding these potential causes can help you seek appropriate medical care.
Uterine Fibroids
Uterine fibroids are noncancerous growths in the uterus that can cause prolonged and heavy menstrual bleeding. Other symptoms may include pelvic pressure, frequent urination, and constipation.
Can uterine fibroids be diagnosed without invasive procedures? While a definitive diagnosis often requires imaging tests like ultrasounds or MRIs, your doctor may suspect fibroids based on your symptoms and a physical examination.
Endometriosis
Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus. This condition can lead to prolonged, heavy periods and severe menstrual pain.
Polycystic Ovary Syndrome (PCOS)
PCOS is a hormonal disorder that can cause irregular or prolonged menstrual periods. It’s often associated with excess androgen production and ovarian cysts.
Thyroid Disorders
Both hypothyroidism and hyperthyroidism can affect menstrual cycles, potentially leading to longer or heavier periods.
How do thyroid disorders impact menstrual cycles? Thyroid hormones play a crucial role in regulating the menstrual cycle. An underactive thyroid (hypothyroidism) can lead to heavier and more frequent periods, while an overactive thyroid (hyperthyroidism) may cause lighter or less frequent periods.
Lifestyle Factors Influencing Menstrual Cycles
Various lifestyle factors can contribute to changes in your menstrual cycle, including prolonged periods:
- Stress: High stress levels can disrupt hormonal balance and lead to irregular periods
- Extreme weight changes: Both significant weight loss and gain can affect menstrual cycles
- Intense exercise: Excessive physical activity can lead to amenorrhea or irregular periods
- Poor nutrition: Inadequate nutrition can impact hormonal balance and menstrual regularity
- Sleep disturbances: Irregular sleep patterns can disrupt hormonal cycles, affecting menstruation
How can you determine if lifestyle factors are affecting your menstrual cycle? Keeping a detailed menstrual diary that includes information about your stress levels, diet, exercise habits, and sleep patterns can help you identify potential correlations between lifestyle factors and menstrual changes.
When to Seek Medical Attention for Prolonged Periods
While some variation in menstrual cycles is normal, certain signs indicate the need for medical evaluation:
- Periods consistently lasting longer than 7 days
- Bleeding so heavy that you need to change your pad or tampon every hour
- Passing blood clots larger than a quarter
- Experiencing severe pain during your period
- Feeling dizzy, lightheaded, or short of breath during your period
- Having periods less than 21 days apart or more than 35 days apart
- Bleeding between periods or after menopause
What should you expect during a medical evaluation for prolonged periods? Your healthcare provider will likely take a detailed medical history, perform a physical examination, and may order blood tests or imaging studies to determine the underlying cause of your prolonged periods.
Treatment Options for Prolonged Menstrual Bleeding
Treatment for prolonged periods depends on the underlying cause. Here are some common approaches:
Hormonal Treatments
- Birth control pills: Can regulate menstrual cycles and reduce heavy bleeding
- Hormonal IUDs: May reduce or eliminate periods in some individuals
- Progestin therapy: Can help balance hormones and regulate menstrual cycles
Non-Hormonal Medications
- Tranexamic acid: Helps reduce heavy menstrual bleeding
- Nonsteroidal anti-inflammatory drugs (NSAIDs): Can reduce menstrual blood flow and alleviate pain
Surgical Interventions
In some cases, surgical procedures may be necessary:
- Endometrial ablation: Destroys the uterine lining to reduce menstrual flow
- Myomectomy: Removes uterine fibroids while preserving the uterus
- Hysterectomy: Removes the uterus (considered a last resort for severe cases)
Are there natural remedies for managing prolonged periods? While medical treatments are often necessary, some individuals find relief through lifestyle changes, herbal supplements, or acupuncture. However, it’s crucial to consult with a healthcare provider before trying any alternative treatments.
Coping Strategies for Prolonged Menstrual Periods
Dealing with prolonged periods can be challenging. Here are some strategies to help manage this condition:
- Use appropriate menstrual products: Consider using high-absorbency pads or tampons, or menstrual cups for heavy flow days
- Maintain iron levels: Consume iron-rich foods or supplements to prevent anemia
- Stay hydrated: Drink plenty of water to replace fluids lost during heavy bleeding
- Practice stress-reduction techniques: Try meditation, yoga, or deep breathing exercises to manage stress
- Exercise regularly: Moderate exercise can help regulate hormones and reduce menstrual discomfort
- Apply heat: Use a heating pad or take warm baths to alleviate menstrual cramps
- Track your cycle: Keep a menstrual diary to identify patterns and potential triggers for prolonged bleeding
How can you maintain your quality of life during prolonged periods? Planning ahead, carrying extra menstrual supplies, and communicating your needs to friends, family, or employers can help you navigate daily life more comfortably during extended menstrual cycles.
Understanding the causes of prolonged periods and knowing when to seek medical attention are crucial steps in managing your menstrual health. By working closely with healthcare providers and implementing appropriate coping strategies, individuals experiencing prolonged periods can find relief and improve their overall quality of life.
Period Won’t Stop? 16 Abnormal Bleeding Causes & How to Find Relief
No two menstrual cycles are exactly the same. Some periods can last one day while others last a week, and the time in between periods can vary too.
The average cycle lasts 28 days — however, this doesn’t mean that something is wrong if yours doesn’t last that long.
Cycles can range in length from around 21 days to as long as 35 days.
Cycles shorter than 21 days typically signal that ovulation may have occurred earlier than normal or not at all.
Cycles longer than 35 days indicate that ovulation isn’t occurring or it’s occurring irregularly.
A period that’s longer than 7 days can also signal that ovulation hasn’t occurred.
Now that you know the basics, you’re probably wondering what’s causing your period to be longer than usual. There are many different plausible causes, and they’re typically manageable.
Certain nonhormonal medications
Some over-the-counter medications can interfere with period length.
Anticoagulants, such as aspirin, help prevent blood clots by prohibiting platelets from clumping together. Taken regularly, the medication can inadvertently prolong periods or cause heavier flows.
On the other hand, some nonsteroidal anti-inflammatory medications, such as ibuprofen and naproxen, can have the opposite effect and can make period flows lighter.
Antidepressants and epilepsy medication can also interfere with periods, causing them to be irregular, longer, or shorter. Some antidepressants can also cause heavier flows and painful cramps. With these medications, changes to your menstrual cycle should stop after a few months.
If any of these medications interfere for longer than 3 months, or if you’re concerned by the extent to which they’re affecting your cycle, ask a medical professional.
Hormonal birth control
Hormonal birth control, such as combination (estrogen and progestin), mini (progestin-only) pills, implants, rings, patches, shots, and IUDs, can affect period flows and cycle duration.
Some doctors actually prescribe the pill to those with a heavier flow, as the hormones can affect the growth of the uterine lining prior to menstruation.
Some people with IUDs report shorter periods or no periods whatsoever. This is mostly true for IUDs that contain hormones, while the copper IUD may cause longer or heavier periods.
While many forms of hormonal birth control reportedly cause lighter flows or shorter cycles, the birth control shot may cause prolonged menstrual flow (though in some people, it’s the opposite).
If you recently switched to a new form of hormonal birth control and you’re worried about the effect it’s having on your cycle, talk to the doctor who prescribed it. They should be able to explain if your side effects are cause for alarm.
Ovulation
Delayed or late ovulation can directly impact your period.
Ovulation usually occurs around the halfway point of a cycle, when the ovary releases a mature egg for fertilization.
Late ovulation is caused by a variety of things, such as stress, thyroid disease, PCOS, breastfeeding, and some medications.
This delay can cause the lining of the uterus to build up heavier than usual for a heavier, delayed period.
Other symptoms of late ovulation include:
- a rise in basal (or resting) body temperature
- side or lower abdominal pain
- an increase in cervical discharge
Track your period to see if this problem continues. If it does, talk to a doctor about your next steps.
Emergency contraception
If you recently took a form of emergency contraception (sometimes referred to as the morning after pill), you could notice a change in your first period after ingestion.
The pill prevents pregnancy by delaying ovulation. This can disrupt the length of your normal menstrual cycle, causing irregularities in your next period including:
- an early period
- a late period
- heavier flow
- lighter flow
- longer flow
- more or less pain than usual
You could also notice some light spotting before your next period.
These symptoms should only disrupt the first period after taking the medication. Should they persist, seek out a doctor.
Abortion (first period after)
Both surgical abortions and medical abortions can affect menstruation.
First thing to know is that you may experience post-abortion bleeding. While it might look like your period, it’s not the same. This bleeding results from tissue releasing from the uterus.
The first period after an abortion can be shorter (if you had a surgical abortion) or longer (if you had a medical abortion) due to the process of your body returning to its normal hormone levels.
Pregnancy hormones can also stick around for a few weeks after your abortion, causing a delay in menstruation.
Other symptoms during this time include:
- bloating
- headaches
- tenderness in the breasts and muscles
- moodiness
- fatigue
If your period doesn’t return 8 weeks after your procedure, see a doctor.
Early pregnancy
One of the earliest signs of pregnancy is a missed period. Light spotting or vaginal bleeding can also occur, mimicking the signs of a menstrual cycle.
Other period-like symptoms in early pregnancy include:
- light cramping
- fatigue
- irritability
- lower back pain
If you think you might be in the early stages of pregnancy, take an at-home pregnancy test.
Miscarriage
Early miscarriages, which can happen before you even know you’re pregnant, can resemble a period with bleeding that gets heavier and lasts longer than a typical period.
The most common symptoms of an early miscarriage are cramping and bleeding, mimicking what would look like a heavy period.
Other symptoms include:
- nausea
- diarrhea
- passing large fluids, such as blood clots or tissue, through the vagina
If you’re experiencing pain and excessive bleeding, and you think you’re having a miscarriage, set up an appointment with your doctor for an in-person physical exam.
Uterine polyps or fibroids
Uterine polyps happen when endometrial tissue grows on the lining of the uterus. Fibroids, similarly, are growths of fibrous tissue and muscle in the wall of the uterus.
Both fibroids and polyps can cause periods to be heavy, full of clots, and last longer than a week.
These tend to occur in people around 35 to 50 years old, or who are in perimenopause.
Other symptoms of fibroids include:
- pelvic pressure
- frequent urination or trouble urinating
- constipation
- backaches
- leg pain
Other symptoms of polyps include spotting in between periods, vaginal bleeding after menopause, and infertility.
Treatment options for fibroids and polyps range from low-dose hormonal birth control to hysterectomies. A doctor will be able to best evaluate what’s going on, and in some cases they’ll be able to perform a hysteroscopy to get a better view inside the uterus.
Hypothyroidism
Low thyroid hormone production can cause menstrual fluctuation, especially in younger individuals.
It can make periods heavier and more frequent, but it can also make them stop altogether.
Other symptoms that signal hypothyroidism include:
- chills
- fatigue
- constipation
- loss of appetite
- sudden weight gain
- dry hair or nails
- depression
PCOS
Polycystic ovary syndrome, or PCOS, happens when ovaries produce an excessive amount of male sex hormones called androgens.
This can alter periods, causing irregularity, light periods, or missed periods.
Other symptoms include:
- acne
- sudden weight gain
- excessive body hair
- dark patches near the neck, armpits, or breasts
Endometriosis
This disorder happens when tissue similar to the tissue that forms the lining of your uterus grows outside of the uterus
One of the most common symptoms of endometriosis is abnormal periods. Periods can last longer than 7 days with heavy flows that require pads or tampons to be replaced every 1–2 hours.
Other symptoms of this include:
- pain in the lower abdomen, pelvis, or lower back
- painful sex
- diarrhea
- constipation
- painful urination
- a frequent need to urinate
- infertility
- fatigue
If you think you might have endometriosis, set up an appointment with your doctor for further evaluation.
Adenomyosis
This condition happens when the endometrial tissue that lines the uterus moves into the muscles of the uterus.
For some, there might be no symptoms of adenomyosis or there might be slight discomfort.
For others, there can be heavy menstrual bleeding, severe cramping, and chronic pelvic pain.
If you’re experiencing heavy bleeding alongside severe cramping during your periods, talk to a doctor. They’ll be able to determine if it’s adenomyosis through a pelvic exam or ultrasound.
Perimenopause
Perimenopausal periods, which occur at the end of your reproductive years, can take the form of irregular periods, lighter flows, or light spotting.
As your hormones fluctuate, it’s also common to have heavier bleeding. This happens because the uterine lining builds with higher estrogen levels.
Perimenopause is normal for anyone who menstruates. It typically occurs between age 45 and 55.
Other symptoms include:
- hot flashes
- night sweats
- difficulty urinating
- difficulty sleeping
- changes in sexual satisfaction
- vaginal dryness
On rare occasions, prolonged menstrual bleeding and heavier flows may be cause for concern.
The following cases should be examined by a medical professional immediately.
Von Willebrand’s
This rare bleeding disease occurs when the body has low levels of Von Willebrand factor and cannot properly clot blood.
For menstruating individuals, this can result in long and heavy periods that include blood clots larger than one inch in diameter.
Other symptoms include:
- excessive bleeding from an injury
- nosebleeds that won’t stop
- blood in your urine
- anemia-related symptoms like fatigue and shortness of breath
Treatments include clot-stabilizing medications, oral contraceptives, and replacement therapy.
Hemophilia
Hemophilia is a rare genetic disorder where the body is missing or has low levels of factor VIII or factor IX clotting proteins.
Although less prominent in females, they can still be “carriers” and symptoms are still possible.
This includes long, heavy periods, passing large clots, and needing to change a tampon or pad every 2 hours or less.
Other symptoms include:
- unexplained or excessive bleeding from injury
- large bruises
- bleeding after vaccinations
- joint pain
- blood in your urine
- sudden nosebleeds
Treatments for hemophilia include both plasma-derived factor concentrates and recombinant factor concentrates.
Cervical or uterine cancer
Gynecological cancers, including cervical and uterine cancer, are forms of cancer affecting female reproductive organs.
Anyone with female reproductive organs is at risk for gynecological cancer, and risk increases with age.
The HPV vaccine is recommended to help protect against cervical, vaginal, and vulvar cancers.
Abnormal bleeding, including heavy bleeding and irregular discharge, is a common symptom of cervical, ovarian, uterine, and vaginal cancer.
Pelvic pain or pressure is another symptom of uterine cancer.
Treatments for gynecological cancers include surgery, chemotherapy, and radiation.
Symptoms of gynecological cancers vary both by location of cancer and the person experiencing it. Heavy bleeding can be a symptom of many disorders, so this symptom alone doesn’t indicate cancer.
If your period lasts longer than a week, consider calling a doctor for advice. Depending on your symptoms, they may suggest setting up an in-person appointment for a physical exam.
On the other hand, if you think you’re showing symptoms of a rare cause or if you’re pregnant, see a doctor immediately.
If you experience severe heavy bleeding and you’re soaking through four or more pads and tampons in a 2-hour period, go to an emergency room right away.
Although it might be alarming to experience a sudden heavy flow or prolonged period, there are many causes that could explain your situation.
Monitor your period from month to month to see if your symptoms persist.
As always, it’s best to consult your doctor if you think anything might be up. They’re able to answer questions, discuss symptoms, perform pelvic exams, and perform ultrasounds if needed.
Jen Anderson is a wellness contributor at Healthline. She writes and edits for various lifestyle and beauty publications, with bylines at Refinery29, Byrdie, MyDomaine, and bareMinerals. When not typing away, you can find Jen practicing yoga, diffusing essential oils, watching Food Network, or guzzling a cup of coffee. You can follow her NYC adventures on Twitter and Instagram.
Period Won’t Stop? 16 Abnormal Bleeding Causes & How to Find Relief
No two menstrual cycles are exactly the same. Some periods can last one day while others last a week, and the time in between periods can vary too.
The average cycle lasts 28 days — however, this doesn’t mean that something is wrong if yours doesn’t last that long.
Cycles can range in length from around 21 days to as long as 35 days.
Cycles shorter than 21 days typically signal that ovulation may have occurred earlier than normal or not at all.
Cycles longer than 35 days indicate that ovulation isn’t occurring or it’s occurring irregularly.
A period that’s longer than 7 days can also signal that ovulation hasn’t occurred.
Now that you know the basics, you’re probably wondering what’s causing your period to be longer than usual. There are many different plausible causes, and they’re typically manageable.
Certain nonhormonal medications
Some over-the-counter medications can interfere with period length.
Anticoagulants, such as aspirin, help prevent blood clots by prohibiting platelets from clumping together. Taken regularly, the medication can inadvertently prolong periods or cause heavier flows.
On the other hand, some nonsteroidal anti-inflammatory medications, such as ibuprofen and naproxen, can have the opposite effect and can make period flows lighter.
Antidepressants and epilepsy medication can also interfere with periods, causing them to be irregular, longer, or shorter. Some antidepressants can also cause heavier flows and painful cramps. With these medications, changes to your menstrual cycle should stop after a few months.
If any of these medications interfere for longer than 3 months, or if you’re concerned by the extent to which they’re affecting your cycle, ask a medical professional.
Hormonal birth control
Hormonal birth control, such as combination (estrogen and progestin), mini (progestin-only) pills, implants, rings, patches, shots, and IUDs, can affect period flows and cycle duration.
Some doctors actually prescribe the pill to those with a heavier flow, as the hormones can affect the growth of the uterine lining prior to menstruation.
Some people with IUDs report shorter periods or no periods whatsoever. This is mostly true for IUDs that contain hormones, while the copper IUD may cause longer or heavier periods.
While many forms of hormonal birth control reportedly cause lighter flows or shorter cycles, the birth control shot may cause prolonged menstrual flow (though in some people, it’s the opposite).
If you recently switched to a new form of hormonal birth control and you’re worried about the effect it’s having on your cycle, talk to the doctor who prescribed it. They should be able to explain if your side effects are cause for alarm.
Ovulation
Delayed or late ovulation can directly impact your period.
Ovulation usually occurs around the halfway point of a cycle, when the ovary releases a mature egg for fertilization.
Late ovulation is caused by a variety of things, such as stress, thyroid disease, PCOS, breastfeeding, and some medications.
This delay can cause the lining of the uterus to build up heavier than usual for a heavier, delayed period.
Other symptoms of late ovulation include:
- a rise in basal (or resting) body temperature
- side or lower abdominal pain
- an increase in cervical discharge
Track your period to see if this problem continues. If it does, talk to a doctor about your next steps.
Emergency contraception
If you recently took a form of emergency contraception (sometimes referred to as the morning after pill), you could notice a change in your first period after ingestion.
The pill prevents pregnancy by delaying ovulation. This can disrupt the length of your normal menstrual cycle, causing irregularities in your next period including:
- an early period
- a late period
- heavier flow
- lighter flow
- longer flow
- more or less pain than usual
You could also notice some light spotting before your next period.
These symptoms should only disrupt the first period after taking the medication. Should they persist, seek out a doctor.
Abortion (first period after)
Both surgical abortions and medical abortions can affect menstruation.
First thing to know is that you may experience post-abortion bleeding. While it might look like your period, it’s not the same. This bleeding results from tissue releasing from the uterus.
The first period after an abortion can be shorter (if you had a surgical abortion) or longer (if you had a medical abortion) due to the process of your body returning to its normal hormone levels.
Pregnancy hormones can also stick around for a few weeks after your abortion, causing a delay in menstruation.
Other symptoms during this time include:
- bloating
- headaches
- tenderness in the breasts and muscles
- moodiness
- fatigue
If your period doesn’t return 8 weeks after your procedure, see a doctor.
Early pregnancy
One of the earliest signs of pregnancy is a missed period. Light spotting or vaginal bleeding can also occur, mimicking the signs of a menstrual cycle.
Other period-like symptoms in early pregnancy include:
- light cramping
- fatigue
- irritability
- lower back pain
If you think you might be in the early stages of pregnancy, take an at-home pregnancy test.
Miscarriage
Early miscarriages, which can happen before you even know you’re pregnant, can resemble a period with bleeding that gets heavier and lasts longer than a typical period.
The most common symptoms of an early miscarriage are cramping and bleeding, mimicking what would look like a heavy period.
Other symptoms include:
- nausea
- diarrhea
- passing large fluids, such as blood clots or tissue, through the vagina
If you’re experiencing pain and excessive bleeding, and you think you’re having a miscarriage, set up an appointment with your doctor for an in-person physical exam.
Uterine polyps or fibroids
Uterine polyps happen when endometrial tissue grows on the lining of the uterus. Fibroids, similarly, are growths of fibrous tissue and muscle in the wall of the uterus.
Both fibroids and polyps can cause periods to be heavy, full of clots, and last longer than a week.
These tend to occur in people around 35 to 50 years old, or who are in perimenopause.
Other symptoms of fibroids include:
- pelvic pressure
- frequent urination or trouble urinating
- constipation
- backaches
- leg pain
Other symptoms of polyps include spotting in between periods, vaginal bleeding after menopause, and infertility.
Treatment options for fibroids and polyps range from low-dose hormonal birth control to hysterectomies. A doctor will be able to best evaluate what’s going on, and in some cases they’ll be able to perform a hysteroscopy to get a better view inside the uterus.
Hypothyroidism
Low thyroid hormone production can cause menstrual fluctuation, especially in younger individuals.
It can make periods heavier and more frequent, but it can also make them stop altogether.
Other symptoms that signal hypothyroidism include:
- chills
- fatigue
- constipation
- loss of appetite
- sudden weight gain
- dry hair or nails
- depression
PCOS
Polycystic ovary syndrome, or PCOS, happens when ovaries produce an excessive amount of male sex hormones called androgens.
This can alter periods, causing irregularity, light periods, or missed periods.
Other symptoms include:
- acne
- sudden weight gain
- excessive body hair
- dark patches near the neck, armpits, or breasts
Endometriosis
This disorder happens when tissue similar to the tissue that forms the lining of your uterus grows outside of the uterus
One of the most common symptoms of endometriosis is abnormal periods. Periods can last longer than 7 days with heavy flows that require pads or tampons to be replaced every 1–2 hours.
Other symptoms of this include:
- pain in the lower abdomen, pelvis, or lower back
- painful sex
- diarrhea
- constipation
- painful urination
- a frequent need to urinate
- infertility
- fatigue
If you think you might have endometriosis, set up an appointment with your doctor for further evaluation.
Adenomyosis
This condition happens when the endometrial tissue that lines the uterus moves into the muscles of the uterus.
For some, there might be no symptoms of adenomyosis or there might be slight discomfort.
For others, there can be heavy menstrual bleeding, severe cramping, and chronic pelvic pain.
If you’re experiencing heavy bleeding alongside severe cramping during your periods, talk to a doctor. They’ll be able to determine if it’s adenomyosis through a pelvic exam or ultrasound.
Perimenopause
Perimenopausal periods, which occur at the end of your reproductive years, can take the form of irregular periods, lighter flows, or light spotting.
As your hormones fluctuate, it’s also common to have heavier bleeding. This happens because the uterine lining builds with higher estrogen levels.
Perimenopause is normal for anyone who menstruates. It typically occurs between age 45 and 55.
Other symptoms include:
- hot flashes
- night sweats
- difficulty urinating
- difficulty sleeping
- changes in sexual satisfaction
- vaginal dryness
On rare occasions, prolonged menstrual bleeding and heavier flows may be cause for concern.
The following cases should be examined by a medical professional immediately.
Von Willebrand’s
This rare bleeding disease occurs when the body has low levels of Von Willebrand factor and cannot properly clot blood.
For menstruating individuals, this can result in long and heavy periods that include blood clots larger than one inch in diameter.
Other symptoms include:
- excessive bleeding from an injury
- nosebleeds that won’t stop
- blood in your urine
- anemia-related symptoms like fatigue and shortness of breath
Treatments include clot-stabilizing medications, oral contraceptives, and replacement therapy.
Hemophilia
Hemophilia is a rare genetic disorder where the body is missing or has low levels of factor VIII or factor IX clotting proteins.
Although less prominent in females, they can still be “carriers” and symptoms are still possible.
This includes long, heavy periods, passing large clots, and needing to change a tampon or pad every 2 hours or less.
Other symptoms include:
- unexplained or excessive bleeding from injury
- large bruises
- bleeding after vaccinations
- joint pain
- blood in your urine
- sudden nosebleeds
Treatments for hemophilia include both plasma-derived factor concentrates and recombinant factor concentrates.
Cervical or uterine cancer
Gynecological cancers, including cervical and uterine cancer, are forms of cancer affecting female reproductive organs.
Anyone with female reproductive organs is at risk for gynecological cancer, and risk increases with age.
The HPV vaccine is recommended to help protect against cervical, vaginal, and vulvar cancers.
Abnormal bleeding, including heavy bleeding and irregular discharge, is a common symptom of cervical, ovarian, uterine, and vaginal cancer.
Pelvic pain or pressure is another symptom of uterine cancer.
Treatments for gynecological cancers include surgery, chemotherapy, and radiation.
Symptoms of gynecological cancers vary both by location of cancer and the person experiencing it. Heavy bleeding can be a symptom of many disorders, so this symptom alone doesn’t indicate cancer.
If your period lasts longer than a week, consider calling a doctor for advice. Depending on your symptoms, they may suggest setting up an in-person appointment for a physical exam.
On the other hand, if you think you’re showing symptoms of a rare cause or if you’re pregnant, see a doctor immediately.
If you experience severe heavy bleeding and you’re soaking through four or more pads and tampons in a 2-hour period, go to an emergency room right away.
Although it might be alarming to experience a sudden heavy flow or prolonged period, there are many causes that could explain your situation.
Monitor your period from month to month to see if your symptoms persist.
As always, it’s best to consult your doctor if you think anything might be up. They’re able to answer questions, discuss symptoms, perform pelvic exams, and perform ultrasounds if needed.
Jen Anderson is a wellness contributor at Healthline. She writes and edits for various lifestyle and beauty publications, with bylines at Refinery29, Byrdie, MyDomaine, and bareMinerals. When not typing away, you can find Jen practicing yoga, diffusing essential oils, watching Food Network, or guzzling a cup of coffee. You can follow her NYC adventures on Twitter and Instagram.
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Long periods | diagnosis and treatment of cycle disorders
Prolonged periods | diagnosis and treatment of cycle disorders
HOW DOES MENORRHAGIA MANIFEST?
When menstruation lasts longer and more than 90-100 ml of blood is released (even if they do not cause discomfort or pain), you should consult a gynecologist.
How often a tampon or pad is changed during menstruation can be used as an indicator of the amount of blood loss. If you need to replace your hygiene product every 2 hours or more often, this is a reason for an unscheduled gynecological examination.
Usually prolonged periods are a symptom of existing gynecological diseases. It can be endometriosis, submucosal uterine leiomyoma, polyps, endometrial hyperplasia. They can also be associated with a disorder of the blood coagulation process (for example, with thrombocytopenia) or endocrine disorders – dysfunction of the thyroid gland, adrenal glands.
Our advantages
Our medical center has modern diagnostic and treatment equipment. Laboratory studies are carried out on the basis of our own diagnostic laboratory.
Treatment is carried out only in accordance with international recommendations and WHO standards, diagnostic and treatment standards of the Ministry of Health of Ukraine, taking into account the world experience of leading experts.
From the first day of work, we adhere to an individual approach to the problem of each client, as we are convinced that this is the key to effective treatment and minimal risk of complications.
Reception and treatment is carried out by highly qualified specialists. We pay special attention to the selection of personnel, as well as create all the conditions for their professional growth and improvement.
They recommend us to their relatives, which means they trust us. More than 50% of patients come to us on the recommendation of their relatives, relatives or friends.
Timing and results may vary depending on the patient’s body
STAGES OF TREATMENT FOR LONG MENSTRUCTION
Consultation and examination by a gynecologist. Collection of anamnesis.
Tests:
- clinical blood test,
- coagulogram (blood clotting test)
- vaginal and cervix swab;
- thyroid function tests (if required)
Ultrasound diagnostics of the pelvic organs (performed at different periods of the menstrual cycle on days 7 and 21).
Follow-up consultation based on test results and prescription of treatment.
The essence of the treatment will depend on the results of the examinations carried out and is more directed to the treatment of the disease that caused heavy menstruation.
The price of treatment for menorrhagia (heavy menstruation) in Kyiv at the Health of the Motherland clinic depends on the number and types of examinations performed. The cost of a consultation with a gynecologist starts from 750 UAH. In addition, the services of our medical center can be found in the price list.
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