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What if My Period is Not Over?

Published in Menstrual Health 3 mins read

If your period is lasting longer than usual, there are several potential reasons. Most of the time, it's related to hormonal fluctuations, stress, or even certain medications. However, it can sometimes indicate an underlying health condition.

Possible Causes of a Prolonged Period

Here's a breakdown of some common causes:

  • Hormonal Imbalance: Fluctuations in estrogen and progesterone levels can disrupt the normal menstrual cycle. This is especially common during puberty, perimenopause, and after childbirth.

  • Stress: High stress levels can interfere with hormone regulation and lead to changes in your period.

  • Medications: Certain medications, such as blood thinners or hormonal birth control, can affect the length and heaviness of your period.

  • Uterine Fibroids or Polyps: These non-cancerous growths in the uterus can cause heavier and longer periods.

  • Endometriosis: This condition involves the growth of uterine tissue outside the uterus, which can lead to prolonged bleeding.

  • Polycystic Ovary Syndrome (PCOS): PCOS is a hormonal disorder that can cause irregular or prolonged periods.

  • Thyroid Issues: Problems with your thyroid gland can affect hormone levels and menstrual cycles.

  • Bleeding Disorders: Certain bleeding disorders can cause heavier and longer periods.

What to Do

The best course of action is to consult with your healthcare provider. They can assess your medical history, perform a physical exam, and order any necessary tests to determine the cause of your prolonged period.

Here's what you can expect during your appointment:

  • Detailed Medical History: Your doctor will ask about your menstrual cycle history, any symptoms you're experiencing, and any medications you're taking.
  • Physical Exam: This may include a pelvic exam to check for any abnormalities.
  • Blood Tests: These can help assess your hormone levels, thyroid function, and blood count.
  • Imaging Tests: In some cases, your doctor may recommend an ultrasound or other imaging tests to examine your uterus and ovaries.

When to Seek Immediate Medical Attention

While a prolonged period is often not a cause for immediate concern, you should seek medical attention right away if you experience any of the following:

  • Heavy bleeding that soaks through more than one pad or tampon per hour for several hours in a row.
  • Severe abdominal pain.
  • Dizziness or lightheadedness.
  • Passing large blood clots.
  • Fever or chills.

It's important to be proactive about your health and discuss any changes in your menstrual cycle with your doctor. Early diagnosis and treatment can help prevent serious complications.

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