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Forum Name: Gynecology

Question: Long period


 washerebutnot - Thu Dec 22, 2005 9:20 pm

This is my fifth period and its lasted for a REALLY long time. not heavy bleeding very small amount to begin with then regularly and now its gone down to a small amount and its lasted about 2 and a half weeks! what should i do? is this normal? very confusing, never happened before.
 Dr. Tamer Fouad - Sun Dec 25, 2005 2:38 pm

User avatar Hello,
The most common etiology of heavy uterine bleeding is anovulatory cycles. Young patients, from menarche to the late-teen years, most commonly have anovulatory bleeding due to the immaturity of their hypothalamic-pituitary axis.

In such cases without ovulation, the corpus luteum fails to form, resulting in no progesterone secretion. Unopposed estrogen allows the endometrium to proliferate and thicken. The endometrium finally outgrows its blood supply and degenerates. The end result is asynchronous breakdown of the endometrial lining at different levels. This also is why anovulatory bleeding is heavier than normal menstrual flow. The finding of menorrhagia at irregular intervals without any known organic etiology confirms the clinical diagnosis. This is most common in adolescent and perimenopausal populations.

If bleeding does not respond to usual therapy in this age group, a bleeding disorder must be considered.

You are strongly recommended to consult your gynecologist so that other more serious causes can be ruled out.

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