What causes prolonged periods?

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Thank you for sharing. All that sounds incredibly draining, both physically and emotionally. What you are experiencing is not normal, and you are right to seek help. Here is a breakdown of what might be going on and what steps you should take next.

What this likely means

Based on your symptoms and laboratory findings:

1. Persistent heavy bleeding (menorrhagia).
2. Soaking through super plus tampons and pads every two hours is considered severe. Continued blood loss is dangerous, especially if you are already anemic (which your laboratories suggest).

Possible causes

1. Hormonal imbalance (especially if you do not regularly menstruate).
2. Endometrial issues (for example, thickened lining, polyps, or fibroids).
3. PCOS (polycystic ovarian syndrome), thyroid problems, or coagulation disorders.
4. Rarely: endometrial hyperplasia or cancer, especially if periods are irregular or absent for long stretches.
5. our laboratory results suggest anemia.

Low hemoglobin, hematocrit, MCV (mean corpuscular volume), MCH (mean corpuscular hemoglobin), and MCHC (mean corpuscular hemoglobin concentration) equal iron-deficiency anemia from blood loss. Low WBC (white blood cells) may be a separate concern due to viral illness, bone marrow suppression, or just part of a stress response.

What you need now:

This is not something to wait out. You need to go back to the ER (emergency room) or a gynecologist as soon as possible if you are bleeding this heavily, have dizziness, fatigue, heart racing, or shortness of breath, and are already known to be anemic.

Possible immediate steps from your doctor:

High-dose hormone therapy (like higher-dose progesterone or combined estrogen-progesterone).

Iron supplementation or IV iron infusion (if anemic).

1. Possibly, Tranexamic acid to reduce bleeding.
2. Ultrasound or pelvic exam to find the root cause.
3. D and C (dilation and curettage) if bleeding does not stop or if a thickened lining is found.
4. Rarely surgical options like ablation or even hysterectomy, if severe and not responsive.

In the meantime (but still go in):

Do not use both tampons and pads. At once, if you are soaking, both indicate emergency-level bleeding. Take iron supplements if already prescribed. Rest, stay hydrated, and avoid NSAIDs (non-steroidal anti-inflammatory drugs like ibuprofen) unless directed, as they can affect clotting in some people.

Final note:

You are not overreacting. You have already taken strong steps, and now it is time for a more specialized gynecologic evaluation. Let me know if you want to help draft questions to ask your obstetrician and gynecologist or emergency room doctor, or if you would like me to help you track symptoms for your next visit. You are being really strong through this.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.