Is a continuous menstruation for 3 months abnormal?

Question

Hello doctor,

I am 19 years old. I have been experiencing menstruation for almost three months. My last menstruation was six months ago, and it lasted for one month. However, my current menstruation has already continued for three months.

Kindly advise.

Answer 1

Hello,

Welcome to icliniq.com.

I have read the query and understand the concern.

The concern described is significant and requires medical attention. Based on the history, the most likely diagnosis is chronic abnormal uterine bleeding (AUB). A common underlying cause at this age is hormonal imbalance, often due to anovulatory cycles (menstrual cycles without ovulation). Another possible associated condition is polycystic ovary syndrome (PCOS).

Continuous bleeding for a month in the past and now for three months is abnormal. Continuous bleeding results in anemia or low hemoglobin concentration, leading to weakness, dizziness, tiredness, and difficulty breathing.

Possible causes include hormonal imbalance, polycystic ovary syndrome, thyroid disorders, and, less commonly, abnormalities of the endometrium (lining of the uterus).

It is important to consult a doctor as soon as possible, as this condition cannot be safely managed at home.

I would suggest the following investigations that are usually recommended:

Hemoglobin test to assess for anemia.
Pregnancy test.
Thyroid function test.
Pelvic ultrasound.

Treatment typically focuses first on stopping the bleeding. Doctors may prescribe medications such as Tranexamic acid and Medroxyprogesterone acetate or other progesterone-based therapies.

After controlling the bleeding, hormonal therapy, such as progesterone or combined oral contraceptive pills, may be advised to regulate the menstrual cycle.

Immediate medical attention is required if any of the following symptoms occur:

Soaking one sanitary pad every hour.
Feeling dizzy, faint, very weak, or short of breath.
Passing large blood clots continuously.

Continuous bleeding for three months is not normal and requires urgent medical evaluation and treatment. The cause is most likely hormonal, but proper investigations and appropriate medication are necessary to manage it safely.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.