My Menstruation Is Not Over, Why?

Medical Video: My Period is Over a Week Long!

Not all women have the same duration and amount of menstrual bleeding. Normal menstruation generally ranges from three to seven days; the average occurs every 28 days. Menstrual bleeding that is too heavy, prolonged or irregular is called menorrhagia. Prolonged menstruation is defined as bleeding that exceeds the duration of the week.

If you have a long menstrual cycle and are not over, this is not normal - unless you approach menopause (usually between the ages of 45-55). Long periods that last more than a week can also be caused by hormonal changes that indicate your body is preparing to welcome "changes" that will come.

Check out the list of possible causes of prolonged menstruation below, ranging from the most common to the rare ones. Some of these causes are old menstrual conditions that are classified as abnormal after other causes, such as the first year of menstruation; pregnancy; and / or normal menorrhagia, has been ruled out.

What are the causes of long menstruation and never finished?

1. Dysfunctional uterine bleeding (DUB)

Dysfunctional Uterine Bleeding (DUB) is the most common cause of abnormal menstrual bleeding in women of reproductive age, but the chances of experiencing DUB will be greater if you are over 40 years old. DUB shows hormone dysfunction, which can affect the stability of the uterine lining and cause spotting when you are not menstruating, heavy menstrual bleeding (which makes you have to change pads every hour), and duration longer than a week.

The doctor does not know what causes dysfunctional bleeding in the uterus, and may diagnose you with this condition if he cannot find the exact cause of your prolonged menstruation.

2. Replace birth control pills

If you use hormonal contraception, oral contraception may be the reason behind menstruation that lasts longer than usual. This pill can change the duration, frequency, and severity of bleeding in each menstrual cycle. Sometimes, switching between brands and types of contraception will also have a direct impact on your menstrual cycle. A copper IUD can also make you experience heavy bleeding and long periods of menstruation.

However, you may not change your family planning strategy on your own initiative or treat your prolonged periods based on a friend's advice and experience with the same symptoms. Every woman's menstrual cycle is different, and a number of medical problems can affect your menstruation, so what works for your friend may not be effective for you. Be sure to discuss this with your doctor before making any decision.

3. Adenomyosis

Adenomyosis is a condition in which the lining of the uterus (endometrium) grows inside the uterine muscle wall. This lost endometrial tissue can also thicken and break, experience bleeding like your menstrual bleeding as usual. If you experience adenomyosis, you will experience a number of other symptoms, such as long periods of menstruation (more than 7 days), heavy bleeding accompanied by severe abdominal cramps and large blood clots, as well as pain during sex.

Adenomyosis usually occurs at the end of the fertile period (perimenopause) and in women who have given birth.

4. Endometrial hyperplasia

Endometrial hyperplasia is a condition of abnormal uterine wall thickening (usually thin and easily torn) for a number of different reasons, but the most common is the imbalance between excessive estrogen production and progesterone which is not enough to balance it. Progesterone prepares the uterine wall to receive and support prospective fetal growth and development.

If pregnancy does not occur, estrogen and progesterone levels decrease. The uterine wall can continue to grow in response to estrogen. Cells that form the lining of the uterine wall can cluster and become abnormal. Decreasing progesterone triggers menstruation, or threshing the lining of the uterine wall. After the layer has completely shed completely, the new menstrual cycle begins which is followed by a number of symptoms such as the duration of long periods, shorter menstrual cycles of 21 days, and bleeding after menopause.

5. Weight problems

If you have gained weight in recent months in large quantities, this additional weight can affect your menstrual regularity. Women naturally have estrogen which helps make the uterus a comfortable and beneficial environment for fetal growth. However, if you are overweight or obese, you will have a large amount of additional fat cells that produce estrogen called estron. These additional estrogen cells mimic the symptoms of pregnancy, so you don't automatically ovulate, but the blood continues to coat the walls of your uterus. The lining of the uterine wall continues so that when you finally get your actual menstruation, bleeding will feel heavier than usual and appear as if your periods will never end.

This long menstrual duration also affects women who have polycystic ovary syndrome (PCOS). Do they have PCOS because of being overweight or overweight because PCOS is difficult to determine, but there is a common thread that can link them to sensitivity to insulin. Hormonal imbalances can be your menorrhagia.

6. Growth of abnormal cells is benign

Cysts, polyps, or uterine fibroids are types of abnormal non-cancerous cell growth from uterine muscle tissue. This extra cell growth can range in number and size, from single growth to group or spread; small, medium and large. The real cause is still a mystery. Some women can have no symptoms, while others experience a series of troublesome symptoms. For example:

Heavy bleeding
Long menstrual duration (more than 7 days)
Pain and pelvic pressure
Frequent urination and constipation
Pain along the legs followed by back pain

7. Disorders of the thyroid gland

Thyroid disorders (such as hypo / hyperthyroidism, Graves' disease or Hashimoto), are sometimes the reasons behind women's menstrual problems. Every problem with your thyroid will cause certain issues, ranging from depression to weight loss - classic hormonal imbalances that disrupt the menstrual cycle. The relationship between thyroid disease and menstrual cycle is not well understood by medical professionals, but there are some strong relationships between abnormal long periods (heavy and / or prolonged bleeding) and thyroid disease.

Thyroid disease affects fertility, including changes in the ovary and you may be at risk of having difficulty getting pregnant or having difficulty facing the initial transition of menopause. The onset of cystic tumor cells (fluid-filled lumps) in the ovary caused by thyroid problems can also make it difficult for you to start - and maintain - a healthy pregnancy.

Visit your doctor if these symptoms occur: absent menstruation for more than three months, serious pain throughout the duration of menstruation, heavy menstruation lasting more than 24 hours, long periods that last more than seven days, and cycles that are less than 21 days .

Other medical conditions that are more rare but can cause abnormal menstrual bleeding include:

Pelvic inflammatory disease (PID)
Ovarian or endometrial cancer
Gigantism
Hirsutism
Bleeding disorders, such as Von Willebrand's disease

Treatment options for the duration of prolonged menstruation

In addition to family planning, treatment for abnormal menstrual bleeding includes:

Prescription medicines
Hysterectomy, surgical removal of the uterus
Endometrial ablation, surgery to remove or warm the uterine lining

Depending on the situation, prolonged menstruation may be a condition that can be controlled with the use of hormonal contraception or a side effect of serious underlying health problems. Some medical procedures, such as hysterectomy, will cause infertility.

If something doesn't feel right to you, always consult with your doctor, and keep details of your menstrual cycle and experience as additional evidence to help the doctor determine the right diagnosis for your complaint.