Healthy Service Q&A Women’s Health

Why is menstruation unclean for a long time?

Asked by:Ana

Asked on:Apr 12, 2026 07:36 AM

Answers:1 Views:399
  • Francine Francine

    Apr 12, 2026

    Long-term unclean menstruation may be related to factors such as endocrine disorders, uterine fibroids, endometrial polyps, coagulation disorders or luteal insufficiency.

    Endocrine disorders are one of the common causes, mostly caused by bad lifestyle habits such as mental stress, excessive dieting or staying up late, which manifest as menstrual cycle disorders and prolonged menstruation. You can use progesterone capsules, dydrogesterone tablets and other drugs as directed by your doctor. Uterine fibroids may compress the uterine cavity, causing increased menstrual flow and prolonged menstrual periods. They can be diagnosed through ultrasound examination, and myomectomy may be performed if necessary. Endometrial polyps are often accompanied by irregular bleeding, and hysteroscopic polyp removal is an effective treatment. Patients with coagulation dysfunction may have difficulty coagulating menstrual blood and need to check for thrombocytopenia and other diseases. Vitamin K1 injections, tranexamic acid tablets and other drugs can be used as auxiliary treatments. Luteal insufficiency will lead to incomplete shedding of the endometrium, which is manifested as incomplete menstrual bleeding. Progesterone soft capsules can be supplemented to improve symptoms.

    It is recommended to maintain a regular schedule, avoid overexertion, and keep warm during menstruation. Appropriately increase animal liver, spinach and other iron-rich foods to prevent anemia. If the symptoms last for more than 3 months or are accompanied by anemia symptoms such as dizziness and fatigue, you should promptly seek medical attention for gynecological examination, six hormone tests and ultrasound examination to identify the cause and then provide targeted treatment.