Decoding Prolonged Menstruation: Understanding Causes and Concerns

Menstruation is a natural process indicative of a healthy reproductive system, yet its duration can sometimes signal underlying health issues. While a typical menstrual cycle lasts between 21 and 35 days, a period that consistently extends beyond 7 days may warrant attention. Dr. M Rajini, Consultant Gynaecology at CARE Vatsalya, CARE Hospitals Banjara Hills, Hyderabad, sheds light on the factors influencing prolonged menstruation.

How Long Does A Period Last?

A normal menstrual cycle spans between 25 and 30 days, with menstruation lasting approximately 2 to 7 days. If the cycle falls below 21 days, it’s termed ‘polymenorrhea,’ while exceeding 35 days is termed ‘oligomenorrhea.’

Dr. Rajini notes that if a menstrual period consistently lasts longer than 7 days, it may be considered prolonged, warranting attention.

Possible Causes Of Periods Lasting More Than 7 Days

Several factors may contribute to extended menstrual periods, including:

  1. Hormonal Imbalances: Fluctuations in estrogen and progesterone levels can impact menstrual regularity and duration, affecting processes like ovulation and uterine preparation.
  2. Uterine or Cervical Abnormalities: Conditions such as polyps, fibroids, or adenomyosis may lead to prolonged menstrual bleeding.
  3. Intrauterine Devices (IUDs): Copper IUDs, a form of birth control, may cause localized inflammation or irritation, leading to longer or heavier periods.
  4. Pelvic Inflammatory Disease (PID): Infections in the female reproductive organs can result in irregular menstrual cycles and pelvic discomfort.
  5. Thyroid Disorders: Hypothyroidism or hyperthyroidism can influence menstrual cycles, causing variations in flow and duration.

Symptoms Indicating Issues

In addition to prolonged bleeding, watch for symptoms like severe cramps, fatigue, irregular cycles, pelvic pain, or unexplained weight loss.

Conclusion

Dr. Rajini emphasizes the importance of consulting a healthcare provider for abnormal menstrual patterns. Thorough examinations, medical history reviews, and additional tests can aid in identifying underlying causes.

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