How long does menstrual bleeding last during menopause

Menopausal menstrual bleeding usually lasts for 3-6 months, and the actual time is related to factors such as the rate of ovarian function decline, endometrial status, hormone level fluctuations, chronic disease control, and mental stress.

1. The rate of ovarian function decline

The gradual decline of ovarian function is the core cause of menopausal menstrual abnormalities. As the follicle reserve is depleted and estrogen secretion becomes unstable, it may lead to incomplete shedding of the endometrium and prolonged menstrual periods. Individual differences are significant, with some women experiencing mild decline in ovarian function and shorter duration of symptoms.

2. Endometrial Status

Long term anovulatory menstruation can lead to excessive endometrial hyperplasia, excessive bleeding during shedding, and prolonged bleeding. Patients with previous uterine fibroids, endometrial polyps, and other lesions may experience longer lasting symptoms. Ultrasound examination can evaluate the thickness and structure of the endometrium.

3. Fluctuations in hormone levels

Menopausal estrogen and progesterone imbalance may cause breakthrough bleeding. If the medication plan is not adjusted in a timely manner during hormone replacement therapy, it may also prolong the duration of irregular bleeding. Monitoring of changes in follicle stimulating hormone and estradiol levels is required.

4. Chronic disease control

combined with diabetes, thyroid dysfunction or coagulation dysfunction may aggravate bleeding symptoms. Poor blood sugar control can affect vascular repair, and hypothyroidism may exacerbate menstrual disorders, requiring synchronous treatment of underlying diseases.

5. Mental stress

Long term anxiety or sleep disorders may affect endocrine function through the hypothalamic pituitary axis, prolonging the symptom cycle. Relaxation training and psychological counseling can help improve autonomic nervous system regulation function.

It is recommended to maintain a regular daily routine, avoid overwork, and supplement iron appropriately to prevent anemia. Diet can increase intake of iron rich foods such as dark vegetables and animal liver, while limiting spicy, stimulating, and raw/cold foods. Engaging in 3-5 moderate intensity exercises such as brisk walking and yoga per week can help regulate endocrine function. If bleeding lasts for more than 6 months or accompanied by anemia symptoms such as dizziness and fatigue, timely gynecological treatment is necessary to rule out organic lesions. Menopausal health care requires attention to overall health status, regular physical examinations to monitor indicators such as blood pressure and bone density.