One of the most common causes of prolong bleeding before the menopause is the hormonal imbalance. Estrogen and Progesterone, the two main female sex hormones, regulate the menstrual cycle. Any imbalance of those, especially if there is an excess of Progesterone, can cause prolonged or continuous periods. A blood test can show their levels as well other hormones in the body, e.g. Thyroid function. However, more serious underlying medical conditions can cause prolong bleeding: uterine fibroids or uterine polyps, ovarian cysts; a bleeding disorder; problems with clotting, Endometrial hyperplasia, (a thickened endometrium), infection or cancer.
We would recommend that you book an appointment with your GP as soon as you can so they can examine you and investigate your symptoms further. Some of the diagnostic tests and procedures may include blood tests, smear tests, endometrial biopsies and ultrasounds. It is important to identify the cause of your bleeding and have an appropriate treatment plan, if needed.
Answered by the Health at Hand nurses
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