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Bleeding 20 days a month in your interval? Causes of lengthy intervals to know


Coping with the ebb and stream of hormones is torture sufficient, however it may be past annoying in case your intervals last more than they need to. For the unversed, your uterus sheds its lining in periods that normally final between 2-7 days. Longer intervals could possibly be an indication of fear and one thing you shouldn’t ignore.

In a dialog with Well being Photographs, Dr Nidhi Khera, Director, and Head of Obstetrics and Excessive-Danger Being pregnant, BLK-Max Tremendous Speciality Hospital, New Delhi, explains all about longer intervals that last more than seven days.

Causes your intervals last more than 7 days

There are lots of components at play in terms of your menstruation cycle. Your intervals could last more than normal, and the causes can differ in several age teams.

Right here’s why intervals could last more than 20 days. Picture Courtesy: Shutterstock

“Hormonal imbalance is the primary offender in younger adolescents. Whereas, fibroids and adenomyosis, pregnancy-related situations, and infections can have an effect on the menstrual cycle in adults. Ladies of their reproductive age could expertise pregnancy-related situations like ectopic tubal being pregnant or a miscarriage,” factors out Dr Khera.

The skilled additional warns that girls mustn’t ignore it if their intervals final greater than seven days or they discover too many blood clots. Ladies also needs to get it checked if the blood seems pink, pink, brown, and even rust-like.

What does it imply when intervals lengthen to twenty days?

It goes with out saying that bleeding that extends to twenty days in a month is certainly not regular, and one ought to all the time look additional if a scenario like this occurs, says the skilled. Stating the causes of longer intervals that reach to twenty days, she lists down the causes, which embody:

Hormonal imbalance

An imbalance between the reproductive hormones estrogen and progesterone could possibly be the explanation why your intervals last as long as 20 days.


Fibroids happen when there is a rise within the dimension of the uterus. These are benign lots within the uterus which might be widespread in girls. Extreme menstrual cramps, heavy intervals, ache throughout intercourse, and extreme again ache are a few of the widespread signs of fibroids.


These are normally benign growths throughout the uterine cavity, which kind as a result of overgrowing cells within the endometrium (the inside layer of the uterus).

long periods
Polyps could possibly be the explanation why you is likely to be experiencing lengthy intervals. Picture Courtesy: Shutterstock

Most cancers

An excessive amount of bleeding in periods could possibly be as a result of there are cancerous growths throughout the uterus and/or the cervix.

Underlying medical situation

Some medical situations comparable to HIV, rubella, mumps, and many others., could make your blood skinny and trigger you to bleed an excessive amount of throughout your intervals.

Intra uterine units (IUDs)

IUDs are small contraceptive units which might be positioned in your uterus to keep away from being pregnant. A forgotten or misplaced IUD may result in heavy menstrual bleeding.


Some medicines like blood thinners or aspirin may result in issues. An improper consumption of oral contraceptive capsules, particularly if missed in between the advisable interval might additionally result in the issue.

long periods
Drugs can result in lengthy intervals. Picture Courtesy: Shutterstock

Pelvic infections

In sure conditions, girls could expertise heavy intervals or intervals that lengthy longer than normal resulting from pelvic infections, which can vary from delicate to extreme.

Therapy would rely on the reason for the issue. It’s possible you’ll be given some medicines or could require a biopsy in some circumstances, avers Dr Khera.

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