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

Intrauterine device

Hyperestrogenism

Endometriosis

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