Menstruation Lasts Long When Experiencing Thickening Of The Uterine Wall?

In the morning I want to ask … At this time I was bleeding for 41 days, so there was no pause. Menstrual blood stopped … from the first menstruation to the next month continued without stopping … My age is 26 years old, I have been married 2 years, more than I do not have children, do not use contraception, every time menstruation on days 3 and 4 is always sick … After being on ultrasound, the doctor did not find a cyst or myoma, only thickening of the uterine wall ,, Every month since I was in high school I menstruated for 15 days and the doctor said it was still normal..Now I have menstruated for 41 days, most of the spots, only a few days a lot of blood came out and clots … Said the last doctor I was ultrasound thickening of the uterine wall between want to menstruate or want to get pregnant … If I want to menstruate, I will come out blood 41 days, but why does thickening still occur, if I want to get pregnant, why there is bleeding, and the tests are always negative … And I was given a 100 mg utrogestant drug. Is it safe? Please explain … Thank you

1 Answer:

Hi Nina,

Thickening of the uterine wall that is often found is in the form of endometrial hyperplasia. The endometrium is the inner lining / wall of the uterus. In the estrous cycle the functional layer of the endometrium thickens and if fertilization does not occur it will decay out as menstrual blood. In patients with endometrial hyperplasia, there is continuous and excessive proliferation of the endometrial lining.

Endometrial hyperplasia is caused by a lack of the body's progesterone hormone and excess estrogen levels. Endometrial hyperplasia is partly associated with precancerous lesions. Generally occurs in older women, but can be found in young women who experience ovulation disorders or obesity. Risk factors for endometrial hyperplasia are:

 Use of the hormone estrogen Irregular menstrual cycles, PCOS Obesity Smoking Menarche (first menstruation) at a very young age Menopause at an older age Never get pregnant History of uterine and ovarian cancer in families Symptoms of endometrial hyperplasia are:

 Bleeding outside the menstrual cycle Long menstrual duration and large volumes Short menstrual cycle <21 days Vaginal bleeding after menopause Diagnosis of endometrial hyperplasia is obtained from clinical symptoms, investigations such as ultrasonography, hormone levels, endometrial biopsy, curettage. Therapy given to patients with endometrial hyperplasia is as follows:

 Progesterone (utrogestant) hormone therapy, for patients with progesterone insufficiency. This drug is safe to use according to the doctor's dosage instructions and under clinical supervision. Side effects that can arise due to use are breast pain, breast feeling tense and large, headache, drowsiness, joint pain, vaginal discharge. Hysterectomy, the operation of removing the uterus. Performed on patients who are menopausal or no longer willing to have children, especially for patients who have found uterine thickening that leads to precancerous lesions. Examination and treatment of endometrial hyperplasia can be done with an obstetrician. Menstrual regulation needs to be done so that ovulation occurs (release of eggs). If ovulation does not occur, it is difficult to get pregnant because sperm cannot fertilize eggs that are not released by the ovaries. Thus the explanation from me, hopefully useful.

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