Menstruation More Than 20 Days?

Illustration of Menstruation More Than 20 Days?
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.rnI’m fitri. I’m 24 years old, I just got married 4 months ago.rnEvery time my period comes, the pain is so intense that I sometimes faint, but my blood pressure is normal and it takes at most 6 days regularly every month.rnOn 23.12.2017 I got my period With severe pain like usual, then I checked it turned out the doctor said adenomyosis and then I was told to drink Visanne for 3 months. As time went on on 18.01.18 I had my period with no pain but the blood was just z spots, I continued to drink it every night. But my period didn’t stop for 18 days. Then on the 19th I ate durian at night. The bleeding was heavy until thick blood came out, about as big as 2 groups of cockroaches. And until now, there’s still a lot of bleeding. Why is that? Is it a drug effect? Is that what came out of the fetus? Or what? Then what is the cause of the bleeding?

1 Answer:

Hi Siti,

Thank you for asking HealthReplies.com.

The uterine wall is composed of 3 layers, from the inside out, namely the endometrium, myometrium, and perimetrium. During menstruation, the endometrial lining will shed and come out as blood.

Adenomyosis is a disorder in which endometrial tissue grows into the myometrium. As a result, during menstruation, sufferers can feel quite severe pain, accompanied by abnormal bleeding that comes out of the birth canal, for example in the form of spots outside the menstrual cycle, lumpy menstrual bleeding, prolonged menstruation, and so on. The main cause of this condition is not yet known. However, many experts suspect it has something to do with the excessive production of the hormone estrogen.

The medicine that the doctor prescribes is a type of hormonal drug whose purpose is to help relieve the symptoms of adenomyosis. This drug works by modifying the balance of reproductive hormones circulating in the blood, with the aim of making menstruation run more regularly.

The heavy, clotted bleeding (menorrhagia) that you are currently experiencing may be due to many things, including your previous course of illness, side effects of medication, or pregnancy disorders (such as miscarriage). It is very difficult to distinguish between each of these conditions just by knowing the characteristics of the blood alone. It is necessary to carry out further examinations, such as ultrasound (ultrasonography) or HSG (hysterosalpingography) to evaluate the condition of the reproductive organs more deeply. Therefore, you should immediately consult a gynecologist, yes.

In the meantime, you should first take the drug according to the doctor's advice while getting more rest. Expand foods that are rich in vitamin K and iron, such as red meat, spinach, liver, whole grains, and so on. First reduce activities that are too heavy and also excessive stress. Avoid sexual intercourse first while there is still active bleeding from the vagina.

Hope it helps ya..

dr. Nadia Nurotul Fuadah

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