It’s been ten days since my period and I’m still not clean. What’s going on?

Dirty menstruation for ten days may be related to factors such as endocrine disorders, uterine fibroids, endometrial polyps, coagulation dysfunction, luteal insufficiency, etc. Drug treatment or surgical intervention must be taken based on the specific cause.

1. Endocrine disorders

Long-term stress or disordered work and rest may lead to abnormal hormone secretion, manifested as prolonged menstruation. It can be improved by adjusting work and rest, reducing stress, and using progesterone capsules, dydrogesterone tablets and other drugs as directed by your doctor to adjust the cycle if necessary.

2. Uterine fibroids

Intramural fibroids may affect uterine contractions, leading to irregular menstrual bleeding, often accompanied by increased menstrual flow. Ultrasound examination can confirm the diagnosis. Smaller fibroids can be taken with mifepristone tablets to control their growth. Larger fibroids require uterine myomectomy.

3. Endometrial polyps

Polyp hyperplasia can easily cause irregular bleeding, and hysteroscopy is the gold standard. Asymptomatic small polyps can be observed, but those with obvious symptoms need to undergo hysteroscopic polyp resection, and drospirenone and ethinylestradiol tablets can be taken postoperatively to prevent recurrence.

4. Coagulation dysfunction

Thrombocytopenia or lack of coagulation factors will cause difficulty in stopping bleeding, and blood must be drawn to check four coagulation tests. After determining the cause, supplement the corresponding coagulation factors, such as vitamin K1 injection, and avoid taking anticoagulant drugs such as aspirin enteric-coated tablets.

5. Luteal insufficiency

Insufficient secretion of progesterone in the luteal phase causes incomplete shedding of the endometrium, and monitoring basal body temperature can assist in diagnosis. It is recommended to take progesterone soft capsules in the second half of the menstrual cycle to support the function of the corpus luteum, and cooperate with Zishen Yutai Pills for conditioning.

Daily changes in the menstrual cycle need to be recorded, and strenuous exercise and raw or cold foods should be avoided. People with anemia can eat iron-rich foods such as pork liver and spinach in moderation. If bleeding is accompanied by dizziness, fatigue, or lasts for more than two weeks, you should seek medical attention immediately to check for organic lesions. It is forbidden to take hemostatic drugs to cover up symptoms.