Abnormal Premenopausal Bleeding

Normal menstrual bleeding lasts 2-7 days with a loss of around 40ml of blood.

Abnormal premenopausal bleeding is also caused Abnormal Uterine Bleeding. It is anything that differs from “normal”. Abnormal is a loss of 80ml or more and can result in anemia.

It is important to understand that this is bleeding in a women prior to Menopause.

Occasionally blood clots can be seen. Ovulation bleeding or spotting in-between menses is common.

A Pelvic exam may be helpful as would Ultrasound and blood work.


Oligomenorrhea –  abnormally infrequent bleeding.

Polymenorrhea –  abnormally frequent bleeding.

Metrorrhagia –  Uterine bleeding between menses.

Can be linked to a variety of problems such as cancer, infection, miscarriages, and many additional causes


1.)  Frequent bleeding outside of Menstrual Period

2.)  Ocassional to Frequent Abdominal pain

3.)  Can occur following sexual activity

4.)  When your Menstrual Period lasts longer than normal and can be heavier than normal.


–  Depends on the underlying cause
–  Cryosurgery
–  Electrocautery
–  Hysterectomy
–  others

Potential Causes

1.)  Thickening of the Uterine Wall or lining

2.)  Endometriosis

3.)  Urinary Tract infections

4.)  STD or STI – Sexually transmitted diseases

5.)  Bleeding Disorders

6.)  Uterine Fibroids

7.)  Uterine Polyps

8.)  Polycystic Ovary Syndrome

9.)  Cancers of Ovaries, Uterus, Cervix, Vagina, or other

10.)  Severe Weight Loss

11.)  Anorexia

12.)  Hormone changes including birth control or IUD or Intrauterine Device

13.)  Excessive weight gain

14.)  Others