Menstruation more than a week can be considered as a prolonged period. Normally, women experience menstruation for 3-7 days every month. However, there are some things that can cause your period to last longer than that.
During the first few years of puberty, it is natural that menstrual cycles are irregular or menstruation lasts more than a week. But as women age, menstruation will become shorter and more regular.
Causes of Menstruation More Than A Week
There are many reasons why menstruation can last for more than 7 days, including:
1. Hormonal imbalance
Every month, the lining of the uterus will thicken to prepare for pregnancy. In the fertile period, women will remove eggs from the ovaries (ovaries). If there is no fertilization of the egg by sperm, the egg in the uterus will decay out. This is what is called menstruation.
Well, the thickening of the uterine wall is regulated by the hormones estrogen and progesterone. If the two hormones are unbalanced, the uterine wall will thicken excessively and bleed in large quantities, so menstruation can last more than a week.
2. Problems in the uterus
Some problems in the uterus can also cause menstruation more than a week, such as uterine polyps, myomas, adenomyosis, endometriosis, uterine tumors, to uterine cancer.
3. Certain diseases
In addition to disorders of the uterus, several other diseases, such as blood clotting disorders, Von Willebrand's disease, pelvic inflammation, hypothyroidism, diabetes, kidney disease, and liver disease, can also result in menstruation for more than a week or heavy menstrual bleeding.
4. Side effects of drugs
Taking certain medications can cause side effects such as menstruation more than a week. Medications that can cause these side effects include:
- Blood thinning drugs (anticoagulants).
- Anti-inflammatory medication.
- Medications containing estrogen and progestin.
- Medication for chemotherapy.
- Herbal supplements, such as soybeans, ginkgo, and ginseng.
5. Use of contraception
Menstruation of more than a week can be experienced by women who use an intrauterine contraceptive device (IUD) or a contraceptive spiral, in the first 3-6 months of use. Long-term use of birth control pills can also cause menstruation to be longer.
Treating Menstruation More Than A Week
Management of menstruation more than a week depends on the underlying cause. Some treatment steps that can be taken by doctors to treat menstruation for more than a week are:
- Provision of drugs or hormonal birth control that can balance hormone levels in the body. If the cause is spiral KB, the doctor will replace this contraceptive with another type of contraception.
- Provision of drugs that can reduce the amount of menstrual blood that comes out during menstruation.
- An operation to shrink or remove polyps and myomas.
- Curette to clean the inner lining of the uterine wall.
- Surgical removal of the uterus, if there is a lot of bleeding and other treatment methods do not succeed in making menstruation normal. This method can be chosen if you do not plan to have more children.
If long periods occur occasionally and can return to normal as usual, then this may be normal.
But if menstruation is more than a week continuous, accompanied by other menstrual disorders, such as irregular menstruation, excessive menstrual blood, or to cause anemia, then you should immediately consult a doctor to determine the cause and get the right treatment.
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