What Causes Prolonged Menstrual Periods and How to Manage Them?

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Understanding Prolonged Menstrual Periods in Women

Typically, a woman's menstrual cycle lasts between 3 to 7 days. If menstruation extends beyond this duration, it may indicate a condition known as prolonged menstrual bleeding, which is a form of menstrual irregularity. It is essential for women to stay vigilant if they experience longer bleeding times. But what causes prolonged periods in women?

Uterine Fibroids

Uterine fibroids are non-cancerous growths that can develop in the uterus, particularly submucosal fibroids. These fibroids increase the overall size of the uterus and can interfere with its ability to contract properly, leading to heavier menstrual flow and extended bleeding periods. This is one of the primary reasons for prolonged menstruation in women.

Uterine Polyps

Another condition that can affect menstrual duration is uterine polyps. These growths are commonly associated with chronic cervicitis, which is a result of persistent inflammation in the uterus. When there is a change in the cervix's mucosal lining, polyps may develop, leading to excessive bleeding and elongated periods. Unfortunately, uterine polyps can often recur and can be challenging to treat.

Excessive Weight Loss

Experts suggest that adolescent females should maintain a body fat percentage of at least 17% to support a stable menstrual cycle. At the onset of menstruation, a body fat percentage of around 22% is ideal. Women who engage in extreme weight loss may experience interruptions in their menstrual cycles, leading to prolonged menstruation.

Emotional Factors

Emotional distress plays a significant role in menstrual health. Women who endure long-term stress, depression, or psychological trauma may experience irregularities, including prolonged periods, menstrual pain, or even amenorrhea (the absence of menstruation).

Hormonal Imbalances

Functional uterine bleeding is often linked to hormonal imbalances, particularly when there is an absence of ovulation. This type of dysfunction leads to irregular shedding of the endometrial lining, causing extended menstrual periods.

Pelvic Inflammatory Disease

Conditions such as pelvic inflammatory disease (PID), endometrial infections, and other related issues can cause poor blood circulation within the uterus. This can lead to prolonged bleeding as well as increased menstrual flow, making it crucial for women to be aware of these potential health issues.

Conclusion

In summary, prolonged menstrual periods can stem from various medical conditions, lifestyle factors, and emotional influences. It is vital for women experiencing such symptoms to consult with healthcare professionals for an accurate diagnosis and appropriate treatment. By understanding these factors, women can take proactive steps in managing their menstrual health effectively.