Vaginal Bleeding

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Medical Author:

Melissa Conrad Stöppler, MD, Chief Medical Editor

Melissa Conrad Stöppler, MD, Chief Medical Editor

Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.

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Medical Editor:

William C. Shiel Jr., MD, FACP, FACR

William C. Shiel Jr., MD, FACP, FACR

Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.

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• Vaginal Bleeding Overview
• Vaginal Bleeding Causes
• Vaginal Bleeding Symptoms
• When to Seek Medical Care
• Exams and Tests
• Vaginal Bleeding Treatment
• Self-Care at Home
• Medical Treatment
• Surgery
• Next Steps
• Follow-up
• Outlook
• Synonyms and Keywords
• Authors and Editors
• Read more on Vaginal Bleeding from Healthwise

Unexpected bleeding is always a concern for a woman at any stage of life. Bleeding other than a normal menstrual period and even an abnormally heavy period can be great cause for alarm. The medical term for excessive or prolonged vaginal bleeding that occurs at the regular time of the menstrual cycle is known as menorrhagia. Metrorrhagia is the term used to refer to uterine bleeding at irregular intervals, particularly between the expected menstrual periods. Menometrorrhagia is the combination of the two, that is, excessive uterine bleeding, both at the usual time of menstrual periods and at other irregular intervals.

It is important to understand exactly what is causing the bleeding, its origin (uterus, vagina, or some other organ or tissue), and to make decisions about how to control or stop the bleeding.

• A woman's normal menstrual cycle involves a complex series of hormonal events. An egg is released from the ovary; either the egg is fertilized by a sperm and implants in the uterus, or the lining of the uterus is shed each month as the menstrual period. This shedding causes normal menstrual bleeding.

• A normal menstrual cycle is 28 days plus or minus 7 days.
  
  
• A menstrual period generally lasts from 2-7 days and has a typical volume of blood and fluid loss of about 2 to 8 (average 5) tablespoons. This corresponds to about eight or fewer soaked pads per day with usually no more than 2 days of heavy bleeding.

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