Abnormal or Heavy Menstrual Bleeding
The menstrual cycle is counted from the first day of one period to the first day of the next. An average cycle is 28 days but anywhere from 23 to 35 days is normal. Periods usually last 3-5 days but anywhere from 2-7 days is normal. The amount of blood varies, usually starting out light, then heavy, then light again. Abnormal menstrual cycles can be caused by a variety of situations including hormonal imbalances, ovarian cysts, infections, fibroids, polyps, and cancers. Evaluation may include history and physical, laboratory blood work, imaging and biopsies. Treatments include, but are not limited to, medications, uterine ablations, dilation and curettage and sometimes hysterectomy.