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Symptoms include vaginal bleeding that occurs irregularly, at abnormal frequency, lasts excessively long, or is more than normal. [1] Normal frequency of periods is 22 to 38 days. [1] [3] Variation in the length of time between cycles is typically less than 21 days. [3] Bleeding typically last less than nine days and blood loss is less than 80 mL.
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 ...
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]
The bleeding can be from the uterus, cervix, vagina and other tissue or organs located near the vagina. [4] Postcoital bleeding can be one of the first indications of cervical cancer. [5] [6] There are other reasons why vaginal bleeding may occur after intercourse. Some women will bleed after intercourse for the first time but others will not.
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]
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 ...
As such it is recognised that the boundary defining symptoms as medically unexplained is increasingly becoming blurred. [8] Women are significantly more likely than men to be diagnosed with Medically Unexplained Symptoms. [9] [10] Childhood adversity and/or abuse, and the death or serious illness of a close family member are significant risk ...
In particular, prostaglandins induce abdominal contractions that can cause pain and gastrointestinal symptoms. [8] [9] The use of certain types of birth control pills can prevent the symptoms of dysmenorrhea because they stop ovulation from occurring. Dysmenorrhea is associated with increased pain sensitivity and heavy menstrual bleeding. [10] [11]
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