Why do menstruation keep coming?

Non-stop menstruation may be related to endocrine disorders, uterine fibroids, endometrial polyps, coagulation disorders, polycystic ovary syndrome and other factors. It is recommended to seek medical examination promptly and provide targeted treatment after the cause is determined.

1. Endocrine disorders

Long-term mental stress or excessive dieting may lead to hypothalamic-pituitary-ovarian axis dysfunction, manifested as shortened or prolonged menstrual cycles. It can be diagnosed through six sex hormone tests. The doctor may recommend using progesterone capsules, dydrogesterone tablets and other drugs to regulate the cycle, while maintaining a regular schedule.

2. Uterine fibroids

Intramural fibroids may increase the area of ​​the uterine cavity, leading to increased menstrual flow and prolonged menstrual periods. Ultrasound examination can reveal the location and size of fibroids. If accompanied by symptoms of anemia, tranexamic acid tablets may be used to stop bleeding, or uterine myomectomy may be considered.

3. Endometrial polyps

Polyps protruding into the uterine cavity will affect the normal shedding of the endometrium, causing irregular bleeding or prolonged menstruation. Hysteroscopy can confirm the diagnosis. Smaller polyps can be treated with norethindrone tablets, while larger polyps require hysteroscopic resection.

4. Coagulation dysfunction

Diseases such as thrombocytopenia or hemophilia can cause abnormal blood clotting, making it difficult to stop menstrual bleeding. Four coagulation tests are required. After diagnosis, you may need to infuse coagulation factors or take caffeic acid tablets to improve coagulation function.

5. Polycystic ovary syndrome

High androgen status can interfere with ovulation, causing the endometrium to thicken due to long-term estrogen stimulation, and cause continuous bleeding when shedding. Ultrasound shows polycystic ovarian changes, and ethinyl estradiol and cyproterone tablets are commonly used to regulate hormone levels.

Daily attention should be paid to recording menstrual cycles and bleeding conditions, and avoiding strenuous exercise and heavy physical labor. Add more iron-containing foods such as animal liver and spinach to your diet to prevent anemia. If bleeding lasts for more than 7 days or if more than 8 sanitary napkins are soaked in a single daily dose, you must seek medical attention immediately. All drugs must be used under the guidance of a doctor, and hormone drugs or hemostatic agents are not allowed to be taken by oneself.