46 years, menstruation has been half a month, and it hasn't been clean, what's wrong
Women's normal menstruation generally lasts for 3~7 days, and more than 10 days is considered to be a prolonged bleeding time. There are many reasons why menstruation can be bloody. Let's take a look at the 46-year-old menstrual period for half a month, what are the reasons why it hasn't been clean?
Blood disorders
Blood disorders can cause women to have menstruation that does not end for more than ten days. Such as thrombocytopenic purpura, aplastic anemia, etc., often accompanied by menstrual cramps, if severe uterine bleeding, menstrual prolongation. Others such as chronic anemia, chronic hepatitis,cirrhosis,nephritisetc., it can make the blood vessel wall fragile, increase permeability and cause bleeding., so that menstruation comes for more than ten days.
Inflammatory diseases
Inflammatory diseases are also the cause of women's menstruation for more than ten days, such as pelvic inflammatory disease, endometritis, myositis and other parasitic inflammatory diseases are caused by poor blood circulation, degenerative necrosis or pelvic congestion and other causes of menorrhagia and menstruation for more than ten days.
Endometrial polyps
Endometrial polyps are mainly caused by high estrogen levels and long-term inflammatory stimulation, and clinical manifestations include irregular vaginal bleeding, increased menstruation, prolonged menstruation, menstrual disorders, infertility, etc. Therefore, endometrial polyps are also one of the reasons why menstruation has not been over for more than ten days.
Uterine fibroids
Uterine fibroidsIt is divided into 3 types, including subserosal, intermuscular, and submucosa. If the fibroids are subserosal or the fibroids are small and located in the myometrium, they generally do not affect menstruation, and if the fibroids are located under the mucous membrane, or if the fibroids are large and located between the muscle walls, compressing the endometrium or increasing the area of the endometrium, then menstruation will cause the endometrium to be incomplete and cause heavy and continuous menstrual flow.
Uterine dysfunctional bleeding
Dysfunctional uterine bleeding disease, referred to as functional uterine bleeding or functional bleeding, is abnormal endometrial bleeding caused by neuroendocrine disorders, which is a non-organic disease, and is generally divided into two categories: anovulatory type and ovulatory type.Ovulation function often occurs in the reproductive age, often because of the insufficient luteal function or prolonged atrophy process, the menstrual cycle is shortened, and the menstrual period is not finished for more than ten days.
Endometriosis
Under normal circumstances, the endometrium covers the surface of the uterine body cavity, and if the endometrium grows in other parts of the body due to some factors, it can become endometriosis. In terms of function, there are obvious changes with the level of estrogen, that is, with the menstrual cycle, but only part of it is affected by progesterone, which affects the contraction of the myometrium or the enhancement of the endometrium, resulting in a small amount of "menstruation" and causing the phenomenon that menstruation has not ended for more than ten days.
Intrauterine device
If it is a woman who is normally in the ring, there is a phenomenon that the menstrual period has not finished for more than ten days, it is considered to be due to the influence of the ring. The main discomforts after the ring are: lower abdominal discomfort, increased vaginal discharge, small vaginal bleeding, slight backache, or increased menstrual flow, which generally disappear quickly or gradually disappear within three months, and do not require special treatment.If the bleeding is heavy or frequent, it is necessary to see a doctor to see if the IUD is displaced, detached, or has abnormalities such as endometritis. If there is often an increase in menstrual flow after the ring, if it does not improve after hemostasis and anti-inflammatory treatment, you can consider temporarily removing the ring, and then place it after 2-3 cycles after the menstrual period returns to normal.