Heavy or irregular vaginal bleeding is not just something you have to live with. For some, vaginal bleeding is minor and tolerable; for others, it is annoying and even debilitating. Heavy or Irregular vaginal bleeding can be an indication of a medical problem. There are many treatment options that can help improve your quality of life.
What’s normal?
Normal menstruation typically occurs every 21 to 35 days and lasts for seven or less days. There is a large range of what can be considered a normal menstrual cycle. It is normal for there to be some variation from cycle to cycle, and a woman’s menstrual cycle often changes over the course of her life. Determining if vaginal bleeding is normal depends on your age and circumstances.
Heavy menstrual bleeding
Heavy menstrual bleeding is when cycles are regular, but bleeding is heavy or prolonged. Bleeding is considered heavy when there is a need to change a pad or tampon every one to two hours because it is completely soaked or if you pass large clots. Bleeding is considered prolonged if it lasts more than eight days.
The most common causes of heavy menstrual bleeding are:
Intermenstrual bleeding
Intermenstrual bleeding refers to vaginal bleeding at any time during the menstrual cycle other than during normal menstruation.
The most common causes of intermenstrual bleeding include:
Irregular bleeding
Irregular bleeding is when a woman goes through phases of no bleeding that may last for two or more months and other phases with either spotting or episodes of heavy bleeding. Irregular bleeding most commonly is related to abnormal ovulation or what is more commonly known as polycystic ovarian syndrome.
What can you do?
Bleeding concerns should be evaluated if it persists for more than a few months to see if there is an underlying medical problem that needs to be addressed. There are many treatment options depending on the cause. If there is an underlying medical problem causing the bleeding, this will be addressed first.
There are special circumstances where irregular bleeding should be treated sooner rather than later to prevent other complications later in life. If you are concerned about bleeding, consult your health care provider immediately.