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When vaginal bleeding occurs in prepubertal children or in postmenopausal women, it always needs medical attention. [6] [7] [5] Vaginal bleeding during pregnancy can be normal, especially in early pregnancy. [8] However, bleeding may also indicate a pregnancy complication that needs to be medically addressed. [8]
Bleeding in excess of this norm in a nonpregnant woman constitutes gynecologic hemorrhage. In addition, early pregnancy bleeding has sometimes been included as gynecologic hemorrhage, namely bleeding from a miscarriage or an ectopic pregnancy, while it actually represents obstetrical bleeding. However, from a practical view, early pregnancy ...
Premenopausal women with hematometra often experience abnormal vaginal bleeding, including dysmenorrhea (pain during menstruation) or amenorrhea (lack of menstruation), while postmenopausal women are more likely to be asymptomatic. [3] Due to the accumulation of blood in the uterus, patients may develop low blood pressure or a vasovagal ...
Endometrial polyps usually occur in women in their 40s and 50s. [3] Endometrial polyps occur in up to 10% of women. [2] It is estimated that they are present in 25% of women with abnormal vaginal bleeding. [8]
Vulvovaginal atrophy is thinning, drying, and inflammation of the vaginal walls that can happen when your body produces less estrogen, most commonly after menopause (usually in women 50 or over ...
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.
In post-menopausal women, however, any unscheduled vaginal bleeding is of concern and requires an appropriate investigation to rule out the possibility of malignant diseases. Urogenital symptoms may appear during menopause and continue through postmenopause and include painful intercourse , vaginal dryness and atrophic vaginitis (thinning of ...
Often, women might have a normal hymeneal opening but this wall of tissue might be blocking the access to the vaginal canal. A small opening in the septum called the fenestration allows the menstrual blood to flow out of the vagina. However, it takes longer than the usual menstrual cycle.