Gynecology / Women's Health Expert Forum
Why do I have such long periods
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Why do I have such long periods

Hello,
I have been having a problem with long and irregular periods.  Currently, I am on one that started on November first of last year and have been bleeding consistently (with blood clots) since then.  I am very tired on a daily basis and suffer exhaustion to the point where I've had to start missing classes, but I don't know what to do.  

I've sought out treatment for it in the past, but currently am not due to lack of insurance.  There were no diagnoses provided.  I only received birth control and iron pills but they did little to help the problem.  When the first pills didn't work, I was put on a different set, but stopped taking them because I was so freaked out with the side effects.
What exactly should I do to make sure that I'm able to get the treatment that I need when I'm not even sure what's causing my problem in the first place?

Thank you
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Hello,

If you are having a notable change in your menstrual cycle for more than three months you should present to your ob/gyn discuss this with them and they should then pursue a workup.  Some reasons a woman's menses may increase in duration are uterine fibroids, endometrial polyps, thyroid hormone changes, or endometrial tissue overgrowth (hyperplasia).  

If you experience acute heavy bleeding (using a pad an hour for more than four hours) you should see a physician urgently.  

I recommend you seen an ob/gyn to discuss these issues and possible treatments.

Best regards,

Dr. Downing
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