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Published on: 1/31/2025

Why Is My Period Lasting for 3 Weeks Straight?

A period lasting for three weeks straight, known as prolonged menstrual bleeding or menorrhagia, can be caused by various factors, including hormonal imbalances, uterine abnormalities, or underlying health conditions. It is important to consult a healthcare provider for a proper evaluation and management.

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Explanation

Understanding Prolonged Menstrual Bleeding

Menstrual bleeding typically lasts between 3 to 7 days, and any bleeding that extends beyond this range can be concerning. Prolonged menstrual bleeding can lead to discomfort, fatigue, and anemia due to blood loss.

Common Causes of Prolonged Bleeding

Several factors can contribute to a period lasting for three weeks:

  • Hormonal Imbalances: Fluctuations in hormones, particularly estrogen and progesterone, can disrupt the normal menstrual cycle. Conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders can lead to irregular and prolonged bleeding.
  • Uterine Abnormalities: Structural issues within the uterus, such as fibroids, polyps, or adenomyosis, can cause heavy and prolonged menstrual bleeding. These conditions can lead to increased blood flow and longer periods.
  • Medications: Certain medications, especially anticoagulants (blood thinners) or hormonal contraceptives, can affect menstrual bleeding patterns. Some birth control methods may cause irregular bleeding or prolonged periods.
  • Underlying Health Conditions: Conditions such as endometriosis, pelvic inflammatory disease (PID), or bleeding disorders can also result in prolonged menstrual bleeding. These conditions may require specific treatments to manage symptoms effectively.

When to Seek Medical Attention

If you experience a period lasting for three weeks, it is important to consult a healthcare provider. They can perform a thorough evaluation, which may include:

  • Medical History and Physical Examination: Understanding your menstrual history, symptoms, and any other health issues is crucial.
  • Diagnostic Tests: Blood tests, ultrasounds, or other imaging studies may be necessary to identify any underlying conditions.
  • Treatment Options: Depending on the cause, treatment may include hormonal therapies, medications to reduce bleeding, or surgical interventions for structural issues.

(References)

  • Maybin JA, Critchley HO. Medical management of heavy menstrual bleeding. Womens Health (Lond). 2016 Jan;12(1):27-34. doi: 10.2217/whe.15.100. Epub 2015 Dec 23. PMID: 26695687; PMCID: PMC4728737.

  • James AH. Heavy menstrual bleeding: work-up and management. Hematology Am Soc Hematol Educ Program. 2016 Dec 2;2016(1):236-242. doi: 10.1182/asheducation-2016.1.236. PMID: 27913486; PMCID: PMC6142441.

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