What's wrong with menstruation half a month ago?

Menstruation that lasts for half a month may be caused by endocrine disorders, uterine fibroids, endometrial polyps, coagulation dysfunction or luteal insufficiency. Interventions can be made through hormone therapy, surgical resection, anticoagulation therapy or luteal support. It is recommended to seek medical treatment promptly to determine the cause.

1. Endocrine disorders

Long-term mental stress or excessive dieting may lead to hypothalamic-pituitary-ovarian axis dysfunction, manifested as prolonged menstrual cycles and abnormal menstrual flow. Autonomic nerve function can be regulated through regular work and rest, oryzanol tablet supplementation. In severe cases, estradiol valerate tablets combined with progesterone capsules need to be used for artificial cycle treatment.

2. Uterine fibroids

Intramural fibroids may affect uterine contractions and lead to prolonged menstruation, often accompanied by symptoms such as increased menstrual flow and anemia. Ultrasound examination can confirm the diagnosis. Guizhi Fuling capsules can be taken to control the growth of smaller fibroids. Laparoscopic myomectomy is required for fibroids with a diameter of more than 5 cm.

3. Endometrial polyps

Excessive estrogen levels stimulate local proliferation of the endometrium to form polyps, which manifest as intermenstrual bleeding or prolonged menstruation. Hysteroscopy is the gold standard, and hysteroscopic polyp resection can be performed in an outpatient setting. Drospirenone and ethinylestradiol tablets can be taken postoperatively to prevent recurrence.

4. Coagulation dysfunction

Diseases such as thrombocytopenia or hemophilia can prolong clotting times and cause bleeding during menstruation. Four coagulation tests are required to determine the cause. Mild patients can take tranexamic acid tablets to stop bleeding. Severe bleeding requires infusion of coagulation factor concentrates.

5. Luteal insufficiency

Insufficient secretion of progesterone by the corpus luteum leads to incomplete shedding of the endometrium, which manifests as prolonged menstruation and dark red menstrual blood. Basal body temperature monitoring shows that the high temperature phase is shortened. After diagnosis, progesterone soft capsules need to be taken in the second half of the menstrual cycle to support luteal function.

If menstrual prolongation occurs, it is necessary to record the number of bleeding days and changes in menstrual volume, and avoid strenuous exercise and cold diet. It is recommended to choose breathable cotton sanitary products and change them regularly, and clean the perineum every day to keep it dry. If it is accompanied by anemia symptoms such as dizziness and fatigue or bleeding that lasts for more than 20 days, you should immediately go to a gynecologist for an ultrasound examination and six sex hormone tests. After organic diseases are ruled out, short-acting contraceptives can be used as directed by the doctor to adjust the cycle.