Abnormal Uterine Bleeding

Abnormal uterine bleeding (formerly called menometrorrhagia) is when you bleed between your monthly periods or when your periods are extremely heavy and/or prolonged. Normal menstrual flow typically lasts about five days and occurs every 21 to 35 days.
Your provider should know about any abnormal bleeding you’re experiencing. What’s causing your bleeding may be harmless. But your bleeding may be a sign of cancer or conditions that may negatively impact your fertility.

Who does it affect?

The term “abnormal uterine bleeding” primarily describes bleeding in non-pregnant people in their reproductive years. But this doesn’t mean that irregular bleeding won’t affect you if you’re post-menopausal or pregnant.
If you’re bleeding and have experienced menopause, contact your provider. Bleeding after menopause is never normal. Blood may be red, pink, brown or even rust-like in appearance.
You should also contact your provider if you’re bleeding during pregnancy. Some causes are harmless, but others require medical attention, especially if the bleeding happens late in your pregnancy.
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How common is abnormal uterine bleeding?

Not everyone who experiences abnormal uterine bleeding reports their symptoms. As a result, 10% to 35% of women worldwide may have abnormal uterine bleeding. But the numbers may be higher. It’s most common during menarche (when menstruation begins) and perimenopause (the years leading up to menopause).
Not everyone who experiences abnormal uterine bleeding reports their symptoms. As a result, 10% to 35% of women worldwide may have abnormal uterine bleeding. But the numbers may be higher. It’s most common during menarche (when menstruation begins) and perimenopause (the years leading up to menopause).

What are the signs and symptoms of abnormal uterine bleeding?

The signs of abnormal uterine bleeding can vary. Some signs that your bleeding may be abnormal include:

• Heavy menstrual bleeding (formerly called menorrhagia).
• Bleeding at unusual times (between periods, after intercourse).
• Unusually long periods (seven days or longer).
• Inconsistent menstrual cycles.

What causes abnormal uterine bleeding?

Abnormal uterine bleeding can have many causes, including a variety of medical conditions and even stress: Hormone imbalances

• Anovulation.
• Thyroid disease.
• Polycystic ovary syndrome (PCOS).