[36F] Experiencing prolonged heavy menstrual bleeding

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

• Menorrhagia: This is the medical term for menstrual periods with abnormally heavy or prolonged bleeding. It can be caused by a number of factors, such as hormonal imbalances, uterine fibroids, or polyps.

  • Treatment often involves hormonal therapies such as birth control pills or an intrauterine device (IUD) that releases hormones. In some cases, surgical procedures may be necessary.

• Uterine fibroids: These are noncancerous growths of the uterus that often appear during childbearing years. They can cause heavy menstrual bleeding, prolonged periods, and sometimes pain.

  • Treatment can range from watchful waiting to medication to surgery, depending on the severity of symptoms and the woman's desire for future fertility.

• Endometrial hyperplasia: This is a condition in which the endometrium (lining of the uterus) becomes too thick. It can cause prolonged menstrual bleeding.

  • Treatment usually involves hormone therapy to thin the endometrium. In severe cases, a hysterectomy (removal of the uterus) may be recommended.

• Polycystic ovary syndrome (PCOS): This is a hormonal disorder common among women of reproductive age. It can cause prolonged or infrequent menstrual periods, and excess hair growth.

  • Treatment often involves lifestyle changes such as weight loss and exercise, as well as medication to manage symptoms and prevent complications.

What you can do

You should make an appointment to see a healthcare provider as soon as possible. They can perform a physical examination and may order tests such as a pelvic ultrasound or endometrial biopsy to determine the cause of your symptoms. In the meantime, you can try the following:

1. Use a menstrual cup or high-absorbency tampons or pads to manage the bleeding.
2. Keep a symptom diary to track your bleeding, which can help your healthcare provider make a diagnosis.
3. Stay hydrated and eat iron-rich foods to help prevent anemia.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

• Soaking through one or more sanitary pads or tampons every hour for several consecutive hours
• Needing to use double sanitary protection to control your menstrual flow
• Passing blood clots larger than a quarter
• Restricting daily activities due to heavy menstrual flow
• Symptoms of anemia, such as tiredness, fatigue, or shortness of breath

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.