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Causes of heavy or prolonged menses

Causes of heavy or prolonged menses
Coagulopathy
  • von Willebrand disease
  • Thrombocytopenia (due to idiopathic thrombocytopenic purpura, hypersplenism, chronic renal failure)
  • Acute leukemia
  • Anticoagulants
  • Advanced liver disease
Neoplasm
  • Endometrial hyperplasia or carcinoma
  • Uterine sarcoma
Structural lesion
  • Uterine leiomyomas (fibroids)
  • Adenomyosis
  • Endometrial polyps
Other
  • Endometritis
  • Hypothyroidism
  • Copper intrauterine device
  • Hyperestrogenism
  • Endometriosis
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