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A normal menstrual cycle is 21–35 days in duration, with bleeding lasting an average of 5 days and total blood flow between 25 and 80 mL. Heavy menstrual bleeding is defined as total menstrual flow >80ml per cycle, soaking a pad/tampon at least every 2 hours, changing a pad/tampon in the middle of the night, or bleeding lasting for >7 days.
In addition, early pregnancy bleeding has sometimes been included as gynecologic hemorrhage, namely bleeding from a miscarriage or an ectopic pregnancy, while it actually represents obstetrical bleeding. However, from a practical view, early pregnancy bleeding is usually handled like a gynecological hemorrhage.
Of women with heavy menstrual bleeding, up to 20% will have a bleeding disorder. [24] Heavy menstrual bleeding since menarche is a common symptom for women with bleeding disorders, and in retrospective studies, bleeding disorders have been found in up to 62% of adolescents with heavy menstrual bleeding. [25]
Bleeding may occur frequently or infrequently, and can occur between periods, after sexual intercourse, and after menopause. Bleeding during pregnancy is excluded. [12] Hypomenorrhea is abnormally light menstrual bleeding. [13] Menorrhagia (meno = prolonged, rrhagia = excessive flow/discharge) is an abnormally heavy and prolonged menstrual ...
Polymenorrhagia, also known as frequent and heavy periods or frequent and heavy menstrual bleeding as well as epimenorrhagia or polyhypermenorrhea, is a menstrual disorder which refers to a combination of polymenorrhea (frequent menstrual bleeding) and menorrhagia (heavy menstrual bleeding).
Spontaneous fetal termination after 20 weeks of gestation is known as a stillbirth. [15] The term miscarriage is sometimes used to refer to all forms of pregnancy loss and pregnancy with abortive outcomes before 20 weeks of gestation. The most common symptom of a miscarriage is vaginal bleeding, with or without pain. [1]
Normal frequency of periods is 22 to 38 days. [1] [3] Variation in the length of time between cycles is typically less than 21 days. [3] Bleeding typically last less than nine days and blood loss is less than 80 mL. [1] [3] Excessive blood loss may also be defined as that which negatively affects a person's quality of life. [2]
It has been agreed that the term "metropathia haemorrhagica" should be discarded along with many other older terms for menstrual disorders. [6] [4] Due to diffuse polyposis typical presentation is that of a female (40-45 yrs) With a history of Amenorrhea for 2 weeks Followed by excessive menstrual bleeding cause being anovulation Histopathology: