When menstruation is prolonged, the following treatments can be considered.
Medical treatment is often the first step. Hormonal medications such as progestins can be used. They help to regulate the endometrial lining and stop abnormal bleeding. Tranexamic acid is another option. It works by preventing the breakdown of blood clots, thereby reducing bleeding.
If the abnormal bleeding is caused by an underlying condition like fibroids or polyps, surgical intervention may be needed. Myomectomy can be used to remove fibroids, and polypectomy can deal with polyps. In some cases, dilation and curettage (D&C) might also be considered to stop the bleeding and take a sample for pathological examination to find out the exact cause. It's also important to maintain a healthy lifestyle and manage stress levels, as these factors can also affect menstrual patterns.