The normal length of the menstrual cycle is typically between 24 days and 38 days. And generally lasts up to 8 days.Abnormal bleeding can Occur at certain times in a woman’s life.Periods may not occur regularly when a girl first starts having them.It is normal to skip periods or for bleeding to get lighter or heavier during perimenopause.
Causes
- Fibroids and polyps
- Adenomyosis
- Hormonal disturbances
- Bleeding disorders
- intrauterine device (IUD) or birth control pills
- Miscarriage
- Ectopic pregnancy
- Genital cancer
Based on symptoms and age, tests like pelvic examination, Ultrasound examination ,Hysteroscopy, Endometrial biopsy, MRI and CT scan may be needed
Management-conservative or definitive
medications include the following:
- Hormonal Birth control pills
- GnRH) agonists
- Tranexamic acid
- Nonsteroidal anti-inflammatory drugs
- If medication does not reduce your bleeding, a surgical procedure may be needed like operative hysteroscopy, Endometrial ablation, Uterine artery embolization ,Hysterectomy.