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Heavy menstrual bleeding (HMB), previously known as menorrhagia or hematomunia, is a menstrual period with excessively heavy flow. It is a type of abnormal uterine bleeding (AUB). [ 1 ] [ 2 ]
The initial workup includes exclusion of pregnancy and cancer, by performing a pregnancy test, a pelvic exam and a gynecologic ultrasound. Further workup depends on outcomes of the preceding tests and may include hydrosonography , hysteroscopy , endometrial biopsy , and magnetic resonance imaging .
[6] [7] In children, it may be challenging to determine the source of bleeding, and "vaginal" bleeding may actually arise from the bladder or urethra, or from the rectum. [12] Vaginal bleeding in the first week of life after birth is a common observation, and pediatricians typically discuss this with new mothers at the time of hospital discharge.
Menorrhagia (meno = prolonged, rrhagia = excessive flow/discharge) is an abnormally heavy and prolonged menstrual period. [13] Metrorrhagia is bleeding at irregular times, especially outside the expected intervals of the menstrual cycle.
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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).