Is It Normal to Have Bleeding for Over 20 Days During Menstruation? What Should I Do?

Update Date: 2024-05-21 Source: Network

Having menstruation lasting for more than 20 days is an abnormal phenomenon. First, the possibility of pregnancy needs to be ruled out. It is recommended to buy an early pregnancy test strip for self-testing. After ruling out pregnancy, it is advisable to go to the hospital for a B-ultrasound examination to understand the thickness of the endometrium and rule out endometrial disease. If there is an increase in endometrial thickness, it is recommended to perform a diagnostic curettage and submit the scraped pathological tissue for testing, and treatment will be provided based on the diagnosis results.

Menstruation refers to the periodic shedding of the endometrium. This periodic shedding of the endometrium occurs under the combined action of our hypothalamus, pituitary, and ovaries, involving a complex process. In each menstrual cycle, our endometrium undergoes a proliferative phase. After ovulation, progesterone facilitates the secretory phase. Once the corpus luteum forms during menstruation, estrogen levels reach their peak, making the endometrium thicker. This prepares the endometrium for pregnancy. However, if pregnancy does not occur during this menstrual cycle and no fertilized egg implants, hormone levels will decline, leading to the shedding of the endometrium. Therefore, the uterus during menstruation is merely an organ of expression.

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