What's wrong with my menstrual period?

Incomplete menstruation may be related to factors such as endocrine disorders, uterine fibroids, endometrial polyps, coagulation disorders or luteal insufficiency.

1. Endocrine disorders

Long-term mental stress or excessive dieting may lead to hypothalamic-pituitary-ovarian axis dysfunction, manifested by prolonged menstrual cycles and increased menstrual flow. You can use progesterone capsules, dydrogesterone tablets and other drugs to regulate the menstrual cycle as directed by your doctor, in conjunction with regular work and rest and stress reduction measures.

2. Uterine fibroids

Submucosal fibroids can easily cause prolonged menstruation and increased menstrual flow, which may be accompanied by a feeling of bloating in the lower abdomen. Ultrasound examination can confirm the diagnosis. For smaller fibroids, mifepristone tablets can be taken to reduce the size of the uterus. For larger fibroids, hysteroscopic myomectomy is required.

3. Endometrial polyps

Polyp hyperplasia will cause the endometrial area to increase, manifesting as incomplete menstruation or intermenstrual bleeding. Hysteroscopy is the gold standard, and treatment options include levonorgestrel sustained-release intrauterine system or hysteroscopic polyp resection.

4. Coagulation dysfunction

Diseases such as thrombocytopenia or hemophilia can affect the coagulation mechanism, making it difficult to stop menstrual bleeding. Four coagulation tests are required. After diagnosis, prothrombin complex or tranexamic acid tablets and other hemostatic drugs can be infused intravenously.

5. Luteal insufficiency

Insufficient secretion of progesterone by the corpus luteum can lead to incomplete shedding of the endometrium and prolonged menstruation. Basal body temperature monitoring and serum progesterone testing can assist diagnosis, and progesterone soft capsules are commonly used in treatment to support luteal function.

It is recommended to record the changes in the menstrual cycle, avoid strenuous exercise and cold food, and ensure a sufficient daily intake of iron to prevent anemia. If the symptoms last for more than 3 menstrual cycles or are accompanied by severe dizziness and fatigue, gynecological ultrasound and six sex hormone tests must be performed promptly to identify the cause and then provide targeted treatment. You can eat animal liver, spinach and other iron-rich foods in moderation on a daily basis, but you need to pay attention to the interaction between drugs and food. For example, you should avoid drinking strong tea at the same time when taking iron supplements.