Causes Menstruation For 1 Full Month?

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Hello doctor. Good night. I have a problem with my period. I first got menses when I was 11 years old. Approximately 5 months the first menstrual period smoothly, on the same date every month and lasts a week every month. But after that I did not menstruate for 3 months, and after 3 months of not menstruation the next month the menses went out for 3 weeks without stopping and the blood came out too much so that my hb decreased dramatically, pale and weak. At that time I checked with the obstetrician, and the doctor said that my menses were not stable because I was young. After that I returned to normal menstruation, but I returned to menstruation for many and long. Once in 1 month my blood did not stop coming out, and it came out a lot, even with a bandage 40cm every 2 hours. It also came out like a large, large blood clot. So that I arrived completely pale, and my hb was very low. And of course it disrupts my daily activities. And that must happen at least once a year. Sometimes when I am tired or stressed I will immediately go out of menstruation, even though I just finished menstruating. But every time I see a doctor, the doctor always says the same thing, he said my hormones are not normal. When I went to other doctors, they said the same thing. Even though I’m 18 years old now. Is my hormone really not normal until now?

1 Answer:

Hello, thanks in advance for the question on HealthReplies.com.

The condition that you experience in medical terms is known as menorrhagia, which is an excessive menstrual condition or excessive amount of menstrual blood. The causes can be very diverse, especially related to hormonal conditions because you are still in a vulnerable age at puberty so that the hormonal condition can still be said to be not really stable. However, in addition to hormonal related there are other causes, including:
- pelvic inflammation, an infection of the reproductive organs
- fibroids, benign tumors of the uterus
- PCOS or polycystic ovary syndrome in the condition of disruption of ovarian function in women of childbearing age.
- endometriosis, the condition of the tissue in the uterine wall to grow outside the uterus.
- adenomyosis
- hypothyroidism
- cervical polyps or uterine polyps, which is the growth of abnormal tissue in the inner wall of the uterus.
- disorders of the ovary
- blood clotting disorders
- side effects of drugs, for example anti-inflammatory drugs, hormonal drugs, anti-coagulants, etc.
- malignancy

It is better if you can consult this matter further with the obstetrician you meet and share your concerns. Because basically treatment in this condition in addition to preventing and reducing the volume of bleeding also prevents anemia and improves the quality of life of patients. If the doctor does not find other possible causes of concern, then the treatment is to prevent worsening due to heavy bleeding.

There are 2 ways of treatment, including medication and surgery. Drugs that can be used include: tranexamic acid (by helping the process of blood clots in the uterus), non-steroidal anti-inflammatory drugs / NSAIDs (to relieve pain and reduce the production of one of the hormones that cause menorrhagia), combined contraceptive pills, injectable progesterone etc. . For operative therapy is usually done if menorrhagia cannot be treated with medication and avoid complications of anemia and menstrual pain, the procedure includes: dilatation and curettage, uterine artery embolization, myomectomy (if uterine fibroids), endometrial resection, endometrial ablation, hysterectomy.

Thus the information we can convey, hopefully helps.

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