Normal menstrual bleeding lasts 2-7 days with a loss of around 40ml of blood
Abnormal premenopausal bleeding is anything that differs from “normal”
Abnormal is a loss of 80ml and can result in anemia
Occasionally blood clots are passed as well
Ovulation bleeding – or spotting in between menses is common
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
Treatment
- depends on the underlying cause
- Cryosurgery
- Electrocautery
- Hysterectomy
- others
