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Other symptoms some women experience include painful periods (estimates are between 50 and 90%) and heavy bleeding during menstruation and abnormal bleeding at any time during the menstrual cycle. [2] A lack of periods, known as amenorrhea, is when periods do not occur by age 15 or have not re-occurred in 90 days. [2]
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]
In some women it may be normal to have less bleeding during menstrual periods. Less blood flow may be genetic and, if enquiries are made, it may be found that woman’s mother and/or sister also have decreased blood flow during their periods. Pregnancy can normally occur with this type of decreased flow during the period.
Because periods can reveal so much about a woman’s health, says Vash-Margita, all doctors — not just gynecologists — should pay attention to women’s periods. Vash-Margita says that regular ...
“There’s this historic myth that periods are painful and women need to get on with it. But if it’s interfering with your day-to-day life, it isn’t normal. ... and heavy menstrual bleeding ...
[1] [2] Such bleeding could be visible or external, namely bleeding from the vagina, or it could be internal into the pelvic cavity or form a hematoma. Normal menstruation is not considered a gynecologic hemorrhage, as it is not excessive. Hemorrhage associated with a pregnant state or during delivery is an obstetrical hemorrhage.
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Menstruation (also called menstrual bleeding, menses or a period) is the first and most evident phase of the uterine cycle and first occurs at puberty. Called menarche, the first period occurs at the age of around twelve or thirteen years. [8] The average age is generally later in the developing world and earlier in the developed world. [42]