The only NYS approved ambulatory surgical facility in all of Brooklyn for gynecological surgeries & abortion.
Call Us: (718) 369-1900

Gynecological Conditions & Treatments

Menstrual Periods That Won’t Stop | Normal Menstrual Cycle

Menstrual Periods That Won't Stop Normal Menstrual Cycle

Every woman has normal menstrual cycle once a month, from puberty until menopause. A normal menstrual cycle ranges from 21 to 35 days, and menstrual periods last from four to six days. The intensity of the menstrual flow also varies from one woman to another. While some women have heavy menstrual periods, others have only light menstrual periods lasting a day or two. During each menstrual cycle, a woman loses about 40-70 ml of blood.

If menstrual periods last longer than they should, if the intensity of the menstrual flow changes and if you have menstrual periods more frequently than you normally have, you should get a medical check – up and determine the underlying cause for these changes.

Causes Changes in Normal Menstrual Cycle

Some women have menstrual periods that won’t stop. There are many causes that could lead to menstrual problems, and if they are longer than your normal menstrual cycle, a serious problem could be causing it. You should seek medical help in cases when:

  • If you lose more than 80 ml of blood
  • If you lose or gain weight unexpectedly within a short period of time
  • If you have spotting or bleeding between your periods
  • If you have spotting or bleeding after menopause
  • If you have spotting or bleeding during pregnancy
  • If you have spotting or bleeding after sex
  • If you need to change your pad or tampon during the night
  • If you have menstrual periods that last longer than one week
  • If you have menstrual periods that contain large clots of blood in the menstrual flow
  • If you are unable to do normal daily activities due to excessive blood loss
  • If you feel tired, dizzy and if you are pale, etc.

Reasons That Could Make Your Periods Not to Stop

Some of the reasons include:

  • Menopause – is a period when your body and your hormones change. While entering menopause, it is normal to have changes in the normality of the menstrual cycle. If the bleeding is not severe, it will stop without having the need for medical treatment. However, sometimes medical interventions are necessary to stop the bleeding.
  • Hormonal imbalance – is common in ovarian disorders, during menopause, etc. If the levels of progesterone and estrogen change, it is normal to have irregular and sometimes even heavy menstrual cycles that won’t stop.
  • Internal bleeding – even though it is rarely the cause, you need to seek immediate medical help. Usually, internal bleeding occurs due to an injury, accident, etc.
  • Uterine polyps – are usually noncancerous growths in the lining of the uterus. They range in size and number and one of the symptoms is also irregular menstrual bleeding, bleeding between periods or even excessive and heavy menstrual bleeding.
  • Uterine fibroids – are usually noncancerous growths of the muscular lining of the uterus, also known as myometrium. They range in size and number and one of the symptoms is also irregular menstrual bleeding, bleeding between periods or even excessive and heavy menstrual bleeding.
  • Ectopic pregnancy – is a pregnancy located outside of its normal place. Usually, the embryo gets implanted into the Fallopian tubes. One of the signs and symptoms of ectopic pregnancy is menstrual bleeding.
  • Cancer of the reproductive organs – one of the signs and symptoms of cancer of the reproductive organs is bleeding, especially bleeding between normal menstrual cycle, bleeding after menopause, as well as other signs and symptoms.

How Can I Stop A Period That’s Been Going For Too Long

Normally, you should track the length and severity of your menstrual bleeding. You should pay attention to any bleeding that occurs between two normal menstrual cycle, bleedings after sexual intercourse, bleedings that reappear after menopause, etc. You should also keep track about the number of pads or tampons that you normally use with every menstrual bleeding. If you notice that you are using more pads or tampons than usual, you should probably seek medical help.

Medications like Progesterone or hormonal birth control pills can regulate your menstrual periods. Medications like NSAIDs can cut the amount of blood you lose with every menstrual cycle by one – third.

There are various treatment options available, always depending by the underlying cause of this irregularity of the menstrual cycle.

Depending always from the cause of the bleeding, sometimes surgical procedures are necessary to treat and control the excessive bleeding with every menstrual cycle. In cases of uterine fibroids or uterine polyps, a hysteroscopy is necessary.

Endometrial ablation is necessary in cases when the blood loss is very severe. Hysterectomy is another option, during which the uterus and the ovaries are completely removed. Both these procedures are performed only in cases when the woman does not want to have children in the future.

If, your excessive bleeding is not accompanied with other signs and symptoms and if excessive bleeding does not cause you any other problems, you could just leave it untreated and keep track of your menstrual periods for a month or two. However, keep in mind that losing too much blood with every menstrual cycle can lead you to anemia. When necessary, seek medical help and get the right treatment for your problem.


Vaginitis: A Problem Almost Every Woman Faces in Her Life

Vaginitis: A Problem Almost Every Woman Faces in Her Life

Vaginitis: A Problem Almost Every Woman Faces in Her Life

Vaginitis is inflammation of the vagina that may result from an infection, change in the vaginal flora or bacterial concentrations, or lower estrogen levels. It is a common condition and tends to affect most women more than once in their lifetime. This condition is classified into four major types.

Types of Vaginitis

  • Bacterial vaginosis caused by an abnormal increase in the number of bacteria normally found in the vagina.
  • Trichomoniasis, an infection of the vagina caused by the parasites trichomonads generally acquired through sexual intercourse.
  • Vaginal yeast, vaginal candidiasis or fungal infections that are caused by an overgrowth of the candida albicans fungi found in the vagina.
  • Atrophic vaginitis, caused by lower estrogen levels especially after menopause.

Risk Factors of Vaginitis

The incidence of vaginitis is often higher due to the following factors:

  • Hormonal imbalances from pregnancy, menopause, and birth control pills
  • Sexually transmitted infections
  • Multiple sex partners
  • Antibiotic or steroid therapy
  • Douching and the use of vaginal sprays or deodorants
  • Bubble baths and moist or tight fitting underwear
  • Diabetes, especially uncontrolled

Symptoms of Vaginitis

Vaginitis results in inflammatory changes around the vagina, and most symptoms are related to these changes. Here’s a list of the different symptoms that you may experience if you have this condition.

  • Changes in the color, quantity, and odor of vaginal discharge. The kind of vaginal discharge often helps diagnose the type of vaginitis too. While bacterial vaginitis produces a grey or white discharge with a foul of fishy odor, vaginal yeast infections produce thick cheesy white discharge with lots of itching. Similarly, trichomoniasis causes yellowish green discharge.
  • Itching around the genitals, especially in the vagina
  • Pain during sex
  • Pain when passing urine
  • Rarely, slight vaginal bleeding

Treatment of Vaginitis

The treatment of vaginitis depends on its type. Bacterial vaginitis is treated successfully with antibiotics, mainly metronidazole and clindamycin creams for 5-7 days. On the other hand, vaginal yeast infections require antifungal therapy that includes miconazole, clotrinazole, or tiocanazole creams and suppositories. Trichomoniasis is treated with metronidozole or tinidazole oral tablets. In case of post-menopausal or low estrogen related vaginitis, the insertion of estrogen containing vaginal rings, tablets, or creams is often successful in halting atrophic vaginitis.

Endometrial Hyperplasia: Get the Facts on Symptoms and Prognosis

Endometrial Hyperplasia: Get the Facts on Symptoms and Prognosis

Endometrial Hyperplasia: Get the Facts on Symptoms and Prognosis

Endometrial hyperplasia involves an increase in the proliferation of the inner lining of the uterus. This lining is known as the endometrium and it generally increases in thickness throughout a woman’s menstrual cycle to prepare the uterus for a possible pregnancy. However, when the woman fails to conceive around her ovulation, her uterus begins to shed the endometrium resulting in the menstrual period. This happens every month in women in their reproductive age. However, some women develop an abnormally thick endometrium due to excessive growth during the proliferation phase of the menstrual cycle. This is known as endometrial hyperplasia. Although, most endometrial hyperplasias are noncancerous, this disease requires careful follow-ups and monitoring as it is one of the risk factors of endometrial cancer.


Causes of Endometrial Hyperplasia

Endometrial hyperplasia is believed to result from increased levels of the hormone estrogen. This hormone is also responsible for helping the endometrium grow during a normal menstrual cycle in preparation for pregnancy. As a woman begins to approach menopause, her estrogen levels tend to increase. Hence, this condition has an increased incidence in women nearing their menopausal years. Additionally, obesity, polycystic ovarian syndrome, and diabetes mellitus are likely to increase one’s risk of developing this condition, as they tend to result in higher estrogen levels.


Symptoms of Endometrial Hyperplasia

Abnormalities in the menstrual bleeding are common symptoms of endometrial hyperplasia, particularly since this condition involves the endometrium. Increased vaginal bleeding, spotting in between periods, prolonged bleeding, sudden changes in menstrual bleeding, or vaginal bleeding after menopause are some of the symptoms that women with this disorder may experience. Another, symptom of endometrial hyperplasia could be anemia or low hemoglobin levels. Although, anemia isn’t a direct result of endometrial hyperplasia, it may arise from increased or prolonged blood loss due to a thicker endometrium.


Pap Smear and  Endometrial Biopsy

Endometrial hyperplasia is diagnosed with an endometrial biopsy. A pap smear may sometimes show atypical glandular cells that would suggest the possibility of endometrial hyperplasia. However, the pap smear is not diagnostic and only an endometrial biopsy can provide an accurate diagnosis.


Treatment of Endometrial Hyperplasia and Endometrial Cancer

The treatment of endometrial hyperplasia may vary according to the age of the woman and the severity of the symptoms. Most women are better with cyclical or progesterone only contraceptive pills. The former tend to reduce the estrogen levels in the blood stream, whereas the later tend to relive endometrial hyperplasia by stopping the menses completely. However, severe symptoms or a possibility of endometrial cancer may require hysterectomy.




Page 1 of 512345

Live Google Map:

PBGS Hours:

  • Monday: 7AM - 4PM
  • Tuesday: 7AM - 4PM
  • Wednesday: 7AM - 4PM
  • Thursday: 7AM - 4PM
  • Friday: 7AM - 4PM
  • Saturday: 7AM - 4PM
  • Sunday: Closed


This website contains general information about medical conditions and treatments. The information is not medical advice.

If you have any specific questions about any medical matter you should consult your doctor or other professional healthcare provider.