Causes Of Menstruation For A Month?

Illustration of Causes Of Menstruation For A Month?
Illustration: Causes Of Menstruation For A Month? Bing

Hello, my last period was on March 3, 2018 on March 8, it was over, then on March 16, 2018 I had my period again. And it lasted for almost a month so I checked with the doctor. Blood test and ultrasound. The ultrasound said I had a cyst problem, but the blood test said I was pregnant. I’m still confused why my ultrasound results don’t show if I’m pregnant and why I’ve had my period for almost a month.

1 Answer:

Hi Putu,

Thank you for asking

Previously, you need to know that interpreting the results of blood tests and ultrasound needs to be done by comparing them with complaints and the results of a physical examination carried out directly by a doctor.

In general, the symptoms of cysts are clearly different from those of pregnancy. Even if a more objective examination is carried out, for example with a blood test or ultrasound.

Menstruation that lasts almost a month is more commonly caused by cysts, to be precise, endometriosis cysts. This condition occurs when there is tissue in your uterus (endometrium) that grows not where it should, namely outside the uterus, for example in the cervix, vagina, fallopian tubes, ovaries, or even in the pelvic cavity. In addition to prolonged menstruation, patients with endometriosis cysts can also experience other complaints, such as bleeding outside the menstrual cycle, bleeding after sexual intercourse, very severe menstrual pain, and so on. According to many experts, the causes of endometriosis cysts are related to retrograde menstruation, immune system disorders, hormonal disorders, and so on.

If it is true that you are pregnant, then the results of the ultrasound examination should also show signs of pregnancy, for example by finding a gestational sac or even a fetus. If the ultrasound examination does not show any signs of pregnancy in your uterus, then the blood test results that show signs of pregnancy may be caused by an ectopic pregnancy (pregnancy outside the uterus), pregnancy with grapes (hydatidiform mole), wrong blood test procedure, and so on.

As mentioned above, it is necessary to confirm the results of the various examinations that you have undergone with an in-depth interview and in-person physical examination. Therefore, you should check directly with an obstetrician. If it is true that you are experiencing endometriosis, then to overcome this, the doctor can prescribe several types of drugs, such as hormonal drugs, other drugs according to your complaints, or even recommend you to undergo surgical removal of the cyst. However, if you have other cysts, such as PCOS (polycystic ovary syndrome), dermoid cysts, and so on, the treatment will be tailored to the type and severity of the cyst.

In the meantime, you should get more rest, drink enough, and eat healthy and nutritious foods to help stop prolonged menstrual bleeding. Do exercise regularly and also limit sexual intercourse when there is still heavy bleeding from the vagina.

Hope it helps ya..

dr. Nadia Nurotul Fuadah

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