What is the reason for long-term menstruation before menopause?

Long-term menstrual irregularities before menopause may be caused by normal phenomena, endocrine disorders, endometritis, cervicitis, endometrial polyps, etc. It is recommended to seek medical attention in time and take appropriate improvement or treatment measures under the guidance of a doctor. The details are as follows:

1. Normal phenomenon: Before menopause, the hormone levels in the body will change, and the ovarian function will gradually decline. Menstruation may be prolonged or the menstrual cycle may be prolonged. Generally, it will slowly return to normal after menopause.

2. Endocrine disorders: It may be caused by excessive mental stress or staying up late, which will affect the normal menstrual cycle and menstruation. You can adjust your mood and improve your work and rest. You can also go to the hospital for six hormone tests to make a clear diagnosis, and use progesterone capsules, estradiol valerate tablets and other drugs for treatment under the guidance of a doctor.

3. Endometritis: This is a gynecological inflammation, which may be caused by the inflammatory stimulation of the endometrium. It will affect the periodic shedding of the endometrium and cause long-term unclean menstruation. It is necessary to follow the doctor's advice to use metronidazole tablets, tinidazole tablets, nystatin tablets and other drugs for treatment, which have an anti-inflammatory effect.

4. Cervicitis: It may be caused by inflammation and infection of the cervix. The spread of inflammation to the uterine cavity may cause uterine cavity infection and increase in menstrual volume. It is necessary to follow the doctor's advice to use amoxicillin capsules, roxithromycin dispersible tablets, and erosion suppositories for treatment.

5. Endometrial polyps: This is a benign lesion that can damage the endometrium, cause frequent shedding of the endometrium, and induce long-term unclean menstruation. It needs to be removed through hysteroscopic surgery.

It may also be caused by uterine fibroids and other reasons. Pay attention to local hygiene care to avoid secondary infection. At the same time, you need to go to the hospital for cervical TCT examination, endometrial curettage, etc. to rule out malignant diseases such as cervical cancer and endometrial cancer.