[41F] Experiencing prolonged menstrual bleeding and cramps

What might be happening

Based on the information you've provided, possible explanations for your prolonged menstrual bleeding include:

• Stress: High levels of stress can disrupt your hormonal balance, leading to changes in your menstrual cycle such as a longer duration of bleeding. You mentioned recent changes in your stress levels and emotional well-being, as well as a recent relocation, which could be contributing factors.

  • Management of stress-related menstrual changes typically involves stress reduction techniques such as exercise, meditation, and counseling.

• Menorrhagia: This is a condition characterized by heavy or prolonged menstrual bleeding. However, you mentioned that the volume of your menstrual flow has not changed, so this is less likely.

  • Treatment options for menorrhagia can include medication, hormonal therapy, or surgical procedures depending on the severity and cause.

• Perimenopause: This is the transition period before menopause, which can start in your 40s. It can cause changes in menstrual cycle length and flow.

  • Treatment typically involves managing symptoms. Hormone therapy may be an option if symptoms are severe.

• Thyroid issues: Both hypothyroidism and hyperthyroidism can cause changes in menstrual cycle length and flow. You mentioned possible weight loss, which could be a symptom of thyroid issues.

  • Treatment typically involves medication to correct the thyroid hormone imbalance.

Please note that these are potential explanations based on the information you've provided, but this list is not exhaustive. It's important to consult with a healthcare provider for an accurate diagnosis and treatment plan.

What you can do

1. Monitor your symptoms: Keep track of your menstrual cycle, noting the duration and volume of bleeding, as well as any associated symptoms. This information can be helpful for your healthcare provider.

2. Manage stress: Try stress reduction techniques such as exercise, meditation, or counseling. These can help regulate your menstrual cycle if stress is a contributing factor.

3. Consult a healthcare provider: Given the duration of your current menstrual cycle and the associated cramps, it would be advisable to consult with a healthcare provider. They can provide a formal assessment, order relevant tests if necessary, and discuss appropriate treatment options with you.

What you should look out for

Reasons to seek medical attention more urgently:

• If your bleeding significantly increases in volume
• If you develop severe abdominal pain
• If you experience symptoms of anemia such as fatigue, weakness, or shortness of breath
• If your menstrual cycle continues to be irregular or prolonged

Remember, this advice is intended to be general in nature, and specific causes may not apply to your personal circumstances. Always consult with a healthcare provider for appropriate evaluation.