Is it normal to bleed for ten days with clots?

Question

Hi doctor,

I have been experiencing menstrual bleeding for more than seven days. Today is the tenth day, and the bleeding is now light, with some clotting.

I would like to know how I can stop my periods, as I am about to go on my honeymoon. Additionally, I am concerned about whether this situation could affect my ability to conceive in the future.

Could you please advise me on what steps I should take?

Please help me.

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

A menstrual cycle lasting more than 38 days is considered infrequent or irregular menstrual bleeding.

A menstrual bleeding duration of up to eight days is normal.

Bleeding lasting more than eight days is abnormal.

Causes of irregular menstrual bleeding include:

Polycystic ovary syndrome (PCOS), a hormonal disorder common among women of reproductive age. You may have a history of symptoms such as excessive hair growth, acne, and weight gain.
Hyperprolactinemia, a condition where the pituitary gland produces too much prolactin, a hormone responsible for milk production. You may experience headaches, weight gain, blurred vision, and nipple discharge.
Hypothyroidism, an underactive thyroid gland, produces insufficient thyroid hormones, slowing down metabolism. Symptoms may include weight gain, intolerance to colds, and constipation.
An endometrial polyp is an abnormal (non-cancerous) growth that develops in the lining of the uterus (endometrium). It can cause irregular or prolonged menstrual bleeding.
Fibroids, especially submucosal and intramural types, are non-cancerous tumors made of muscle tissue that grow in or on the uterus. Submucosal fibroids grow just beneath the uterine lining, and intramural fibroids grow within the muscular wall of the uterus.

Investigations to be done:

Serum follicle-stimulating hormone (FSH) and luteinizing hormone (LH) on the second day of the menstrual cycle.
Serum-free thyroxine (FT4) and thyroid-stimulating hormone (TSH) levels.
Serum prolactin level.

Management, I suggest the following:

Take tablet Primolut-N (Norethisterone acetate 5 mg) three times a day continuously for three months.
Take tablet Tranexamic acid 500 mg twice a day for one week.
Take tablet Iberet Folic (Ferrous fumarate and Folic acid) one tablet a day for two months.

Kindly consult your doctor and take medicines accordingly.

I assure you that if you follow this medication regimen, your bleeding will reduce, and your periods will become regular.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.