How can one manage prolonged periods after regular cycles?

Question

Hello doctor,

I have always had irregular periods since my first one, but for the past five months, my cycles have been regular. However, I now have a prolonged period, and today is day 14.

Is this normal?

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have read your query and can understand your concern.

A 14-day prolonged period after having regular cycles for five months could be due to several factors. Since you have had a history of irregular periods, your body might be experiencing hormonal fluctuations again.

Possible causes of prolonged bleeding:

Hormonal imbalance: Changes in estrogen and progesterone levels, often linked to conditions like PCOS, thyroid issues, or stress.
Ovulation issues: If you did not ovulate this cycle (anovulation), the uterine lining may shed abnormally.
Fibroids or polyps: Non-cancerous growths in the uterus can lead to prolonged bleeding.
Endometriosis or adenomyosis: Conditions where the uterine lining grows outside the uterus or into the muscle wall can cause irregular bleeding.
Weight changes, stress, or lifestyle factors: Sudden changes in weight, stress, or shifts in exercise or diet can impact your cycle.

What should you do?

Monitor flow and symptoms: If bleeding is heavy (soaking more than one pad every two hours), accompanied by clots or severe pain, seek medical help.
Check for signs of anemia. Symptoms like dizziness, fatigue, or pale skin could indicate low iron from prolonged bleeding.
Consider a hormonal check-up. Tests for thyroid (thyroid-stimulating hormone, also known as thyroid-stimulating hormone), prolactin, and polycystic ovarian syndrome (luteinizing hormone, follicle-stimulating hormone, and ultrasound) may help identify the cause.
See a gynecologist. If bleeding lasts beyond 21 days or happens repeatedly, it is best to consult a doctor.

I hope this answers your query.

Please let me know if I can assist you further.

Thank you.