Menstrual Disorders

Abnormal bleeding can include any of the following:

  • Bleeding between periods
  • Bleeding after sex
  • Spotting anytime in the menstrual cycle
  • Excessive/Heavy Bleeding 
    • Bleeding heavier or for more days than normal
    • Soaking through a super tampon or pad every hour for two or more consecutive hours
  • Prolonged Bleeding
    • A menses or period that lasts longer than seven days
  • Irregular cycle
    • Menstrual cycles that are shorter than 21 days or longer than 35 days
  • Bleeding after menopause
  • Absence of bleeding/periods
    • Skipping or missing menses/periods with a negative pregnancy test. This usually warrants evaluation if 3 periods have been missed or if you have gone 3 months or 90 days since last having a period and have had negative pregnancy tests.

Abnormal bleeding may have many causes. Some of them are not serious and are easy to treat. Others can be more serious. All should be evaluated.

Some common causes include:

  • Pregnancy
  • Miscarriage
  • Ectopic pregnancy
  • Problems linked to some birth control methods
  • Infection of the uterus or cervix
  • Fibroids
  • Problems with blood clotting
  • Polyps
  • Certain types of cancers
  • Chronic medical conditions (i.e. thyroid problems)

Click here for more information on abnormal uterine bleeding

Click here for more information on perimenopausal and bleeding after menopause