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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.
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).
Menometrorrhagia, also known as heavy irregular menstrual bleeding, is a condition in which prolonged or excessive uterine bleeding occurs irregularly and more frequently than normal. It is thus a combination of metrorrhagia (intermenstrual bleeding) and menorrhagia (heavy/prolonged menstrual bleeding).
Dysmenorrhea is associated with increased pain sensitivity and heavy menstrual bleeding. [10] [11] For many, primary dysmenorrhea symptoms gradually subside after their mid-20s. Pregnancy has also been demonstrated to lessen the severity of dysmenorrhea, when menstruation resumes.
One-third of women will experience abnormal uterine bleeding in their life. Normal menstrual cycle has a frequency of 24 to 38 days, lasts 7 to 9 days, so bleeding that lasts longer could be considered abnormal. Very heavy bleeding (for example, needing to use 1 or more tampons or sanitary pads every hour) is another symptom. [19]
Polymenorrhea, also known as frequent periods, frequent menstruation, or frequent menstrual bleeding, is a menstrual disorder in which menstrual cycles are shorter than 21 days in length and hence where menstruation occurs more frequently than usual. [1] [2] [3] Cycles are regular and menstrual flow is normal in the condition. [3]
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:
Heavy menstrual bleeding (40–60%), which is more common in women with deeper adenomyosis. Blood loss may be significant enough to cause anemia, with associated symptoms of fatigue, dizziness, and moodiness. Abnormal uterine bleeding; Chronic pelvic pain (77%) Painful cramping menstruation (15–30%) Painful vaginal intercourse, uncommon (7%)