[48F] Experiencing prolonged menstruation

What might be happening

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

• Menorrhagia: This is a condition characterized by heavy or prolonged menstrual periods. It can be caused by various factors such as hormonal imbalances, uterine fibroids, polyps, or even certain medications.

  • Treatment typically involves hormonal therapies, such as birth control pills or intrauterine devices (IUDs). In some cases, surgical procedures may be necessary.

• Perimenopause: This is the transition period to menopause, which can start in your 40s. It can cause changes in menstrual cycles, including longer or heavier periods.

  • Treatment typically involves hormone therapy or low-dose antidepressants.

• Thyroid disorders: Both hyperthyroidism (overactive thyroid) and hypothyroidism (underactive thyroid) can cause changes in menstrual cycles. Unintentional weight loss is a common symptom of hyperthyroidism.

  • Treatment typically involves medication to regulate thyroid hormone levels.

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

  • Treatment typically involves lifestyle changes, such as diet and exercise, and medications to manage symptoms.

What you can do

Given your symptoms, it's important to consult with a healthcare provider for a proper diagnosis. They may order tests such as blood tests, ultrasounds, or a biopsy to determine the cause of your prolonged menstruation. In the meantime, you can:

1. Monitor your symptoms: Keep track of your menstrual cycle, noting the duration and heaviness of your periods.
2. Maintain a healthy lifestyle: Regular exercise and a balanced diet can help manage symptoms and improve overall health.
3. Stay hydrated: Prolonged menstruation can lead to dehydration. Make sure to drink plenty of fluids.

What you should look out for

Seek immediate medical attention if you experience:

• Severe pain or cramping
• Heavy bleeding (soaking through one or more sanitary pads or tampons every hour)
• Signs of anemia, such as fatigue, weakness, or shortness of breath
• Sudden weight changes

Remember, I'm an AI and this advice is not a substitute for professional medical advice. Always consult with a healthcare provider for accurate information.