prolonged menstruation

Prolonged menstruation can cause worries if the sufferer is a woman of productive age who is not married or still wants to have children.

The average normal menstrual cycle lasts between 21-35 days, with a menstrual period of 3-7 days. If it is more than that, you have entered a prolonged period of menstruation.

So, what is the cause of prolonged menstruation? Is there a particular way that can be done to stop this condition? For more details, let’s look at the review one by one below.

Causes of Prolonged Menstruation

Several factors can cause prolonged menstruation. Here are some of the most common causes.

1. Thyroid Problems

The thyroid is a gland that regulates various hormones in the body. As a result, the thyroid gland is also directly related to the menstrual cycle for women.

An overactive or under-active thyroid gland is most likely to result in menstruation lasting more than seven days. Besides, despite having a strong relation, the relation between thyroid gland disorders and the menstrual cycle itself is not well understood by medical professionals.

Besides prolonged menstruation, adverse effects commonly experienced when the thyroid is problematic include depression, hormonal imbalances, and weight loss.

2. Ovulation Spots

For information, ovulation is a term to describe the activity that occurs when the ovary releases an egg. For some people, this process will only leave small, insignificant blood spots, but there are also bleeding for some people.

Spots of blood that occur during ovulation are often considered a continuation of the menstrual period. So it seems longer than usual.

3.  Unbalanced Hormones

Hormonal imbalance is typical for adolescents and older women near the menopause period. This is often a common cause that makes the menstrual process last long.

The most influential hormones regulating the menstrual cycle are the estrogen and progesterone hormones. The excessive accumulation of these two hormones in the uterus can trigger prolonged menstruation.

Read more: Not Menstruating After Childbirth, Here’s the Cause!

4. Due to Uterine Polyps

Polyps are benign red tumors that grow around the lining of the uterus. Uterine polyps are one of the problems that can cause a longer menstrual cycle because they can trigger bleeding.

Situations involving uterine polyps generally afflict women of reproductive age. The cause itself is known to come from an increase in hormones in the body.

5. Changing Birth Control Pills Too Often

Frequently changing birth control pills can also be a factor in causing prolonged menstruation. The use of hormonal birth control pills itself changes the duration and severity of bleeding in each menstrual cycle.

When you switch from one birth control brand to another or change the type of contraception, this will automatically directly affect the menstrual cycle.

6. Perimenopause

The average menopause in women occurs when the age approaches 50 years. At this stage, hormone levels in the body can certainly begin to change, causing prolonged or even shorter periods than usual.

You don’t need to be surprised if you experience this because every woman has different hormone levels and menopause times.

7. Effects of Hormonal Birth Control Pills

For some people, taking hormonal birth control pills is often an option to shorten and regulate menstruation. However, unfortunately, this sometimes makes the menstrual cycle longer and heavier than usual. Significant changes undoubtedly influence this in natural hormones in the body.

8. Dysfunctional Uterine Bleeding (DUB)

Dysfunctional Uterine Bleeding is the cause of bleeding that occurs in abnormal menstrual cycles in women of reproductive age.

The begging of Dysfunctional Uterine Bleeding (DUB) is hormonal dysfunction that affects the balance of the uterus, causing spotting during menstruation to heavy bleeding that lasts more than seven days.

How to Stop Prolonged Menstruation

In the medical world, there are several procedures to stop prolonged menstruation. Some of them we will discuss below.

1. Taking Medication

In general, prolonged menstruation is usually treated by taking medication. The type of drug given is usually not only one kind. This is to adjust to each person’s condition.

Examples of drugs that can be used to stop prolonged menstruation include,

  • Iron Supplements
  • Danazol 
  • Progestin
  • Tranexamic acid (Lysteda)
  • IUD
  • Gonadotropin-releasing hormone (GnRH) agonists
  • Desmopressin Nasal Spray (Stimate®)

2. With Curettage and Dilatation Surgery Procedure

To stop the bleeding that occurs due to prolonged menstruation, the obstetrician will usually perform a curettage & dilation procedure. The primary purpose of this process is to suck the remaining blood or scrape the uterine lining tissue.

For maximum results, this procedure needs to be done several times so that similar problems do not occur in the future.

3. Through Endometrial Resection or Ablation Procedures

The way to stop prolonged menstruation is with an Endometrial Ablation or a Resection procedure. This step is quite risky because controlling menstrual blood flow is done by removing part of the uterine lining.

So, make sure you have consulted with a trusted doctor before undergoing this procedure. The reason is, the patient will bear the risk of having difficulty having children in the future.

4. Overcoming Prolonged Menstruation with Hysterectomy

Hysterectomy is usually done when there is no other way of treatment that gives maximum results. The treatment procedure itself includes surgical removal of the uterus, causing menstruation to stop and not getting pregnant.

Therefore, a way to deal with prolonged menstruation with a hysterectomy is not recommended for women who are not married or still planning to have children in the future.

Way to Overcome Prolonged Menstruation Due to Injectable Contraceptive

For those of you who feel that you are experiencing prolonged menstruation due to injectable contraceptives, the following methods may be the solution.

1. Using Combination Birth Control Pills

For some people, combination birth control pills can reduce the amount of menstrual blood by 40-50% per period. You can try this method with various considerations if needed.

2. Taking Hormonal Contraceptive Drugs

As we know, a woman’s menstrual cycle is influenced by various types of hormones. You can switch from injectable birth control to hormonal contraceptives to minimize it if your menstrual cycle occurs more than usual.

3. Using IUD

The IUD is a contraceptive device shaped like the letter T placed in a woman’s uterus. The use of an IUD containing the progestin hormone is a standard procedure that is widely chosen because it is said to reduce the amount of blood that comes out during menstruation.

That’s a review related to the causes of prolonged menstruation and how to overcome them. Menorrhagia or prolonged menstrual is a condition that cannot be taken lightly because it can threaten the reproductive organs. If you experience this, you should immediately consult a doctor to be treated immediately.