This Causes Prolonged Menstruation and How To Overcome It

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This Causes Prolonged Menstruation and How To Overcome It
This Causes Prolonged Menstruation and How To Overcome It

Prolonged menstruation occurs if menstrual bleeding lasts more than 7 days. Although each woman has a different duration and amount of menstrual bleeding, generally normal menstruation lasts between 2-7 days

Medically, menstruation that exceeds one week can be classified in a condition called menorrhagia. If it happens only occasionally, prolonged menstruation is not a dangerous condition.

These Are the Causes of Prolonged Menstruation and How to Overcome It

Prolonged menstruation only needs to be watched out for if it occurs continuously or appears accompanied by other complaints such as weakness or heavy bleeding during menstruation.

This condition is a sign that prolonged menstruation may be caused by certain he alth problems that need to be treated by a doctor.

Recognizing the Causes of Prolonged Menstruation

In some cases, the cause of prolonged menstruation is not always known with certainty. However, there are several things that are thought to cause prolonged menstruation, including:

1. Hormonal imbalance

Unbalanced hormone conditions can affect the menstrual process. When the amount of hormones in a woman's body is not balanced, the lining of the uterus or endometrium can shed excessively, causing excessive menstrual bleeding.

These hormonal disorders can be caused by several medical conditions, such as obesity, PCOS, brain tumors, and thyroid disorders.

2. Impaired ovarian function

Ovarian disorders can cause disturbances in the production of hormones such as estrogen and progesterone which play a role in regulating menstruation. Therefore, problems with the ovaries can cause menstrual disorders such as irregular menstruation or prolonged menstruation.

3. Fibroids

Uterine fibroids, also known as fibroids, are benign (non-cancerous) tissue that grows and attaches to the uterine wall. Fibroids can cause heavy vaginal bleeding, prolonged menstruation, and painful menstruation.

4. Endometriosis

Endometriosis occurs when endometrial tissue, which is the tissue on the inside lining of the uterus, grows outside the uterus. Endometriosis can cause abnormal bleeding and cramping or pain before and during menstruation.

5. Pelvic inflammation

Pelvic inflammatory disease or also known as pelvic inflammatory disease (PID) is an infection that causes inflammation of the female reproductive system. This inflammation causes symptoms of pain in the pelvic area and lower abdomen, and can cause prolonged menstruation.

Pelvic inflammation can occur due to risky sexual activities, such as having more than one sexual partner or having frequent unprotected sex, a history of abortion or miscarriage, and the use of spiral contraception (IUD).

There are other causes of prolonged menstruation, including uterine cancer, cervical cancer, and side effects of drugs such as birth control pills and blood thinners. Women who suffer from blood disorders may also experience prolonged menstruation.

How to Overcome Prolonged Menstruation

Because it can be caused by many things, you should consult a doctor if you experience prolonged menstruation.

To confirm the diagnosis of prolonged menstruation and find out the cause, the doctor will perform a physical examination and supporting examinations in the form of blood tests, ultrasound of the uterus, X-rays of the uterus (HSG), biopsy of uterine tissue, or Pap smears.

After the doctor confirms that you are diagnosed with menorrhagia, the doctor can provide treatment according to the cause.

The following are some of the treatment steps that doctors can take to overcome the complaints of prolonged menstruation that you are experiencing:


Drugs that can be given to treat prolonged menstruation are non-steroidal anti-inflammatory drugs, such as paracetamol. These drugs can be used to relieve pain that occurs along with complaints of prolonged menstruation.

In addition, doctors can also prescribe drugs to stop bleeding, such as tranexamic acid.

hormonal therapy

Hormonal therapy can be done if the prolonged menstrual condition you are experiencing is caused by hormonal disorders. Hormone therapy can be in the form of giving the hormones progesterone and estrogen, for example through the use of birth control pills.

However, if you are not suitable for using birth control pills, your doctor may prescribe other types of hormonal drugs.


The doctor may suggest surgery to treat prolonged menstruation caused by a tumor or cancer in the uterus.

Sometimes, prolonged menstrual conditions can cause you to experience complications in the form of anemia or lack of blood due to the large amount of blood that comes out during menstruation. To overcome this problem, the doctor can give iron supplements or give blood transfusions, if your blood count has decreased drastically.

Prolonged menstrual conditions should not be left too long until it drags on and gets worse. Therefore, you should immediately consult a doctor, if you experience complaints of prolonged menstruation that do not improve.

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