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The normal average length of any menstrual cycle for a normal adult woman is anywhere between a time period of 21 to 35 days. This may vary from person to person, especially young girls and old ladies. Younger girls who have just hit puberty generally tend to have a cycle of eight to ten days. Whereas older women who are approaching menopause may have either extremely heavy and long periods or short and spotted menstruation cycles.
In normal cases, such irregularities occur as a result of the changes in female hormone levels, especially because of estrogen. Estrogen hormone is significant as it helps to build up the uterine wall lining. This is called the endometrium. It will either nurture a fertilized egg or become the lining which is shed during menstrual period.
Irregular menstrual cycles are definitely considered to be bothersome. But it happens due to the hormonal changes in a woman’s body.
Causes of 2 week long periods
There is a list of certain medical conditions which could be held responsible for abnormally long menstrual bleeding. The major ones are as follows:
- Uterine fibroids, which are non-cancerous growths of the uterus wall
- Glandular issues
- Any kind of bleeding disorder, such as von Willebrand disease, which is rare though
- Inability to ovulate
- Any sort of Urinary Infection
- Blood clotting issues
- Uterine polyps
- An Endometrial hyperplasia, that is identified as a thickened endometrium
- Ovarian cysts
- Imbalance in the Thyroid gland functioning
This list is not exhaustive but indicative of the common reasons for a period that lasts two weeks or longer. In order to identify the exact reason for prolonged periods, it is best to undergo a medical examination and take certain tests. It will ascertain the real cause of the problem and then take necessary corrective actions.
Below mentioned are the details for the tests.
Diagnosis of 2 week long period-
For a problem such as irregular or prolonged period, it is always advisable to take quick measures and consult your gynecologist. This is helpful in determining the cause of the problem for prolonged menstrual bleeding and finding suitable remedies. The gynecologist will be able to recommend firm conclusions only after a series of tests to detect the actual cause of the problem.
There are certain common tests that all doctors recommend such as the pregnancy detection test, hormone levels and thyroid function tests. Depending on the case background and family history, the doctor may prescribe other diagnostic tests and procedures such as the Pap smear screening test, any kind of endometrial biopsies, and ultrasounds of specific parts of the probably affected organs.
Let’s understand this in a little detail.
If a patient is suffering from abnormally long menstrual periods, the doctor will start the examination of the case with a pelvic checkup. Alongside this, medical history may also be collected, where you need to inform your doctor about all the medications and supplements in your normal course of routine and any kind of disease or treatment undergone in the recent past.
Based on the pelvic examination, and the specific symptoms, a gynecologist may prescribe some of the following diagnostic tests:
1. Blood tests
A multitude of blood tests are used to identify any symptoms of anemia, or blood-clotting problems, as well as any kind of malfunction of the thyroid gland.
2. Endometrial Biopsy
In order to evaluate any possible issues of the uterus, your gynecologist may suggest taking up an endometrial biopsy. Here a sample of the uterine tissue is collected in order to analyze the condition of the pelvis and the uterus region. A biopsy can be accompanied by a diagnostic hysteroscopy that helps to see the entire interior region of the uterus. Hysteroscopy is an operative procedure where the patient is made fully unconscious and then the procedure is performed with the help of a lighted tube. This helps to see the uterus and remove any kind of polyp or cells that may be causing prolonged periods.
3. Pregnancy Test
The gynecologist may recommend you to take a pregnancy test. This is rare but in some conditions, in certain cases, a 2 week long period might be an indication of an ectopic pregnancy which needs to be treated as soon as possible.
4. Pelvic Ultrasound
A pelvic ultrasound helps to get a clear picture of the condition of the ovaries, uterus, and the pelvic region. Pelvic examination yields results needed to know the further course of action.
5. Pap Smear test
The Pap smear test is mostly undertaken to find out the pelvic condition and check for any kind of infections or cancerous cells that may be causing the 2 week long period.
In a sonohysterogram, your gynecologist will inject fluid into your uterus so as to get an image of the uterine cavity in the screening process. This process helps to look out for any polyps or any fibrosis which may be the probable cause for a long periods.
Most of the tests, once undertaken will help your gynecologist to identify the real cause of the problem of prolonged periods and then perform necessary steps to cure the problem. Below mentioned are some of the popular treatment options that a gynecologist may recommend based on the findings of the tests.
Treatment options for 2 week long period
There are a number of options for the treatment of prolonged period cycles. Depending on the reason for the prolonged period, the doctor may recommend any of the following treatments :
1. Birth control pills-
Other than being used with the objective of contraception, the birth control pills also help to regulate hormone production in the body and impact the growth of the uterine lining. Birth control pills also help women entering perimenopause, which is the stage just before menopause.
depending on the reason for the prolonged period, the gynecologist may prescribe some medications which will help to regulate the period.
If some of the tests yield results that are unfavourable indicating some fatal disease such as cancer, then Hysterectomy is performed. It is a surgical procedure which involves the removal of the uterus.
4. Endometrial ablation –
If the diagnosis reveals some problem which can be handled without the removal of the uterus, then Endometrial ablation is performed. This is surgical removal or burning of the uterine lining, without removing the uterus from the body. It is preferable for women who have one or no child and wish to keep the uterus intact.
Prolonged menstrual bleeding is a medical condition which should never be ignored and addressed at the earliest. For women with such problems, it is always advisable to keep a detailed account of the menstrual bleeding in order to provide the doctor with accurate information so as to enhance the accuracy of the diagnosis and to get treated accurately and efficiently.