Prolonged menstrual cycle duration: Explanation and potential causes.

Prolonged menstrual cycle duration: Explanation and potential causes.

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Navigating the mysteries of your period can be a wild ride. While you may have learned in high school that a period typically lasts every 21-35 days, there's no actual "normal" when it comes to women's cycles. Every body is different - some dripping blood for days on end, while others clockwork-perfectly every 28 days.

But what if you suddenly find that your period is eating up your week? Should you be worried? Cleveland Clinic's Ob/Gyn physician, Dr. Erin Higgins, shares some insights on what could be causing your lengthy crimson tide, how to manage it, and when to consult your doc.

Mysteries Unveiled: Why is my period lasting so long?

Before we dive into possible reasons, let's clarify what we mean by "normal." According to Dr. Higgins, a typical period, or the bleeding portion, usually hovers between 2 to 7 days (with 5 to 7 days on the upper end being perfectly fine). If your period lingers for eight days or more, it's time to give your provider a ring. Remember, any significant changes to the frequency, heaviness, or spotting between cycles should also concern you.

The list of reasons for an extended period is as unique as your fingerprints. After all, we're all snowflakes down there, and different factors can causes bleeding to persist.

Dr. Higgins advises tracking your period meticulously, whether manually or digitally. Data, she says, is your best friend to interpret those pesky, unexpected period shenanigans.

Just a Few Reasons for that Lingering Period:

Life's a Bitch, and Stress Makes it Worse

It's no secret that stress affects every aspect of our lives, and your menstrual cycle is no exception. Stress hormones alter hormone levels and affect overall body function, potentially leading to a prolonged cycle. Of course, short spells of stress (like approaching a big presentation) are temporary, but chronic stress (like caring for ill family members) can make irregular periods the new norm.

Taking time to see a gynecologist might sound daunting, but it's essential to ensure that stress, not an underlying health condition, is causing your crivens cycle.

Hormonal Meds and Hormonal Birth Control

Various birth control options can impact your period.

"The Pill"

The birth control pill generates predictable periods, typically lasting 3 to 5 days. However, extended and continuous-dose versions let you forgo periods completely or receive them every three months. Hormonal birth control is fantastic for regulating periods and preventing pregnancy, but remember to give your body time to adjust after switching to a new pill or method.

Intrauterine Devices (IUDs)

Hormonal IUDs yield lighter periods or none at all. Copper IUDs (like Paragard®) might cause heavier and longer periods.

Whether hormonal or nonhormonal medications are behind your lingering period, it's crucial to discuss this with your provider.

Infections and Sexually Transmitted Infections (STIs)

While pregnancy may seem a time of relative calm regarding bleeding, it isn't entirely true. Unexpected bleeding can happen during pregnancy, miscarriages, ectopic pregnancies, and following abortions. If you're sexually active or even could be, take bleeding seriously when pregnant.

Breastfeeding

Regarding hormonal fluctuations, breastfeeding ranks up there. Some women enjoy no menstruation, while others have irregular periods for a while before returning to their norm. Speak with your provider regarding any concerns about postpartum menstrual changes.

Polycystic Ovary Syndrome (PCOS)

Irregular periods are a hallmark of PCOS. Untreated, it can cause permanent damage and disabling symptoms. Birth control pills are often prescribed to manage this condition.

Uterine Fibroids or Polyps

Uterine fibroids and polyps can lead to prolonged, heavy periods and spotting. If symptoms worsen, there are various treatment options available.

Endometriosis and Adenomyosis

Endometriosis involves endometrial tissue growing outside the uterus, while adenomyosis involves growth inside the muscle wall of the uterus. Both can lead to long, painful periods.

Perimenopause

Hormonal imbalances and changes during perimenopause can lead to prolonged and irregular periods, though this is expected as you enter the menopause transition. Talk with your provider if menopause is approaching or you're over the age of 45.

Seek medical attention if any changes to your menstrual cycle occur. Many people endure longer periods for years without realizing they can find relief. It's always best to consult a professional if you have questions or concerns about your menstrual cycle.

1. Stress hormones can alter hormone levels and cause an extended period due to their impact on overall body function, as advised by Dr. Erin Higgins.
2. Hormonal medications such as birth control pills and intrauterine devices can affect period length, and it's essential to discuss any changes with a healthcare provider.
3. Uterine conditions like fibroids, polyps, endometriosis, adenomyosis, and disorders such as PCOS can lead to prolonged and irregular periods, warranting a consultation with a medical professional.

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