
What Causes Prolonged Heavy Menstrual Bleeding And Tiredness?

You need to seek medical care you may have lost a lot of blood
Detailed Answer:
Hello, and I hope I can help you today.
Many women in the years approaching menopause can develop heavy periods for a number of reasons; some can be hormonal, and others can be caused by abnormalities of the uterus such as polyps and fibroid tumors, and more rarely- precancerous conditions. It is never normal to bleed for 18 days and you really should have an evaluation by a gynecologist who can perform an examination, make a diagnosis, and hopefully give you medication that will help stop your bleeding.
However, if you have been bleeding heavily for a long time and you are starting to feel tired and dizzy, you may have lost a lot of blood and become severely anemic. Severe anemia can make you pass out or even have a heart attack if the bleeding does not stop. So if you feel so tired I strongly encourage you to go to an emergency room, especially if you are alone and do not have someone to take care of you. They will check your blood count and treat your anemia. Intravenous estrogen can sometimes stop the bleeding within 24 hours, and then they hopefully can get you a GYN consultation.
I hope I was able to answer your question and that you follow my advice to seek medical care promptly.
If you need anything further, please do not hesitate to contact me.
Sincerely, Dr. Brown

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