"What Steps Should I Take If My Menstrual Cycle Lasts Unusually Long, Exceeding 20 Days, at Age 48?"

Possible Causes and Treatments for Persistent Menstruation in a 48-Year-Old Female

Persistent menstruation lasting over 20 days in a 48-year-old female may stem from endometritis, perimenopausal syndrome, endometriosis, or uterine fibroids. This condition can be addressed through a combination of general treatment, medication, and surgical intervention.

1. Endometritis

Endometritis typically arises from the invasion of pathogens into the uterine region, causing inflammatory responses that can damage the endometrium. Symptoms include lower abdominal discomfort and prolonged menstruation. Doctors may prescribe medications such as Levofloxacin Hydrochloride Capsules, Moxifloxacin Hydrochloride Tablets, and Cefixime Granules to alleviate inflammation and bacteria. Additionally, warm compresses can be applied to promote blood circulation and prevent the condition from worsening.

2. Perimenopausal Syndrome

Perimenopausal syndrome is often associated with fluctuating sex hormone levels around menopause. As ovarian function diminishes, it can impact the formation of the endometrium. Doctors may recommend Progesterone Capsules, Dydrogesterone Tablets, or Medroxyprogesterone Acetate Tablets to regulate hormone levels. Emotional management and avoiding undue psychological stress are also crucial.

3. Endometriosis

Endometriosis involves the abnormal growth of endometrial tissue outside the uterine cavity and muscular layer, leading to menstrual irregularities, prolonged menstruation, painful intercourse, lower abdominal pain, and menstrual cramps. Gestrinone Tablets, Danazol Tablets, and Mifepristone Tablets may be prescribed to manage the condition. In severe cases, laparoscopic surgery may be necessary.

4. Uterine Fibroids

Uterine fibroids are commonly linked to high estrogen levels, which can stimulate abnormal endometrial proliferation and fibroid development. Symptoms may encompass lower abdominal discomfort, pain, and increased vaginal discharge. Doctors may prescribe Triptorelin Acetate for Injection, Leuprolide Acetate Microspheres for Injection, or Compound Gossypol Tablets to regulate menstruation. In severe cases, hysterectomy may be considered.

Furthermore, cervical polyps, which can cause continuous bleeding, may also contribute to persistent menstruation lasting over 20 days in a 48-year-old female. Surgical removal of the polyps may be necessary. Maintaining good personal hygiene is essential to prevent the condition from progressing.