Causes of Prolonged Menstrual Periods: Insights from Traditional Chinese Medicine and Western Medicine

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Understanding Prolonged Menstrual Cycles: Causes and Solutions

Graduating from university can be a exciting yet stressful experience, as exemplified by Miaomiao, who is juggling her graduation thesis with an internship. The pressures of balancing responsibilities can lead to various health concerns, including prolonged menstrual cycles. This article discusses the potential causes of extended menstruation from both Traditional Chinese Medicine (TCM) and Western medical perspectives, as well as potential solutions.

Traditional Chinese Medicine (TCM) Insights

From a TCM viewpoint, **prolonged menstruation** may result from issues such as stagnant qi and deficient yin leading to internal heat. Women who are excessively reserved or stress-prone may experience blockages in qi flow, which can hinder the circulation of new blood. Over time, this stagnation can result in longer menstrual periods.

Additionally, women often have a cold constitution, which can be exacerbated by factors like illness, excessive childbirth, or frequent intimate activity. These can deplete the body's vital energy and blood, contributing to dysfunctional menstruation and delays in the cycle.

Western Medical Perspectives

In Western medicine, several factors may explain prolonged menstrual cycles:

  1. Blood Disorders: Conditions such as thrombocytopenic purpura and aplastic anemia often accompany longer menstrual periods. Other disorders, including chronic anemia and liver conditions, may weaken blood vessel walls, leading to increased bleeding.
  2. Pelvic Inflammation: Conditions like pelvic inflammatory disease, endometrial polyps, and endometriosis can cause inadequate circulation within the uterus, resulting in heavy, prolonged periods.
  3. Chronic Conditions: Disorders like chronic uterine enlargement (myometritis) can lead to excessive estrogen production, resulting in thickened uterine lining and prolonged bleeding.
  4. Uterine Fibroids: Submucosal fibroids can enlarge the uterine cavity and disrupt normal contractions, contributing to excessive bleeding and longer cycles.
  5. Hormonal Imbalances: Anovulatory cycle disorders and irregular shedding of the endometrium may also be driven by endocrine dysfunction, leading to prolonged menstruation.
  6. Endometriosis: This condition can enhance uterine contractions or lead to heavy bleeding, resulting in a longer cycle.
  7. IUD Complications: The presence of an intrauterine device (IUD) may also be a contributing factor to prolonged menstruation.

Approaches to Managing Prolonged Menstruation

For women experiencing prolonged menstrual cycles, it is essential to evaluate the symptoms:

1. Mild Cases

If the menstrual cycle is generally regular but prolonged, characterized by lighter flow and no other alarming symptoms, it may simply stem from stress-induced qi deficiency. In such cases, it is crucial to manage stress levels and prioritize nutrition.

2. Severe Symptoms

For those experiencing abnormalities like extended periods accompanied by pain, unusual discharge, or other concerning signs, professional evaluation is recommended. Consulting with healthcare providers may involve ultrasound and hormone level tests to determine underlying causes effectively. Targeted treatments will alleviate symptoms based on specific diagnoses.

Conclusion

Miaomiao’s situation highlights the complexities surrounding women's health during times of stress. Understanding the various causes of prolonged menstrual cycles and seeking appropriate remedies can significantly improve well-being. Whether through traditional practices or modern medical approaches, addressing these concerns proactively is vital for maintaining one's health during challenging times.