Vaginal Bleeding and Abnormal Vaginal Bleeding ⋆ Meno Martha

“It is important to note that bleeding after menopause is not normal and should be investigated. Postmenopausal bleeding is bleeding that occurs…”.¹

Umbrella
What may the Vaginal Bleeding and Abnormal Vaginal Bleeding Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

Abnormal Bleeding
Abnormal Uterine Bleeding (AUB)
Abnormal Vaginal Bleeding (AVB)
Bleeding After Menopause
Dysfunctional Uterine Bleeding
Spotting
Postmenopausal Bleeding
Uterine Bleeding
Vaginal Bleeding

Definition

What is abnormal vaginal bleeding (AVB)?

Dots the definition of AVB may vary. In Vaginal Bleeding: Summary the (United States) Medline Plus’ definition is:

“Menstruation, or period, is a woman’s monthly bleeding. Abnormal vaginal bleeding is different from normal menstrual periods. It could be bleeding that is between periods, is very heavy, or lasts much longer than usual. It also includes bleeding that happens before puberty or after menopause”.²

In Vaginal Bleeding: Basics – Definition the (United States) Mayo Clinic’s definition is:

“Abnormal vaginal bleeding is any vaginal bleeding unrelated to normal menstruation. This type of bleeding may include spotting of small amounts of blood between periods — often seen on toilet tissue after wiping — or extremely heavy periods in which you soak a pad or tampon every one to two hours for two or more hours”.³

When

When is vaginal bleeding considered AVB or abnormal uterine bleeding (AUB)?

In Abnormal Uterine Bleeding: When Is Bleeding Abnormal? the American College of Obstetricians and Gynecologists (ACOG) explain:

“Bleeding in any of the following situations is considered abnormal uterine bleeding:

Bleeding or spotting between periods
Bleeding or spotting after sex
Heavy bleeding during your period
Menstrual cycles that are longer than 38 days or shorter than 24 days
“Irregular” periods in which cycle length varies by more than 7–9 days
Bleeding after menopause”.⁴

Postmenopausal Bleeding

Is postmenopausal vaginal bleeding normal?

No. In Health After Menopause: Postmenopausal Bleeding the (Australian) Jean Hailes for Women’s Health (JH) explain:

“It is important to note that bleeding after menopause is not normal and should be investigated. Postmenopausal bleeding is bleeding that occurs more than 12 months after your final period (the menopause). It can be bleeding like a period, spotting or staining”.⁵

Health Care Provider

What if I think I have AVB?

If you think you have AVB, it may be in your best interest to choose to talk to your health care provider about this.

In Vagina: What’s Normal, What’s Not – What Are Signs or Symptoms of Vaginal Problems? the Mayo Clinic explain:

“Consult your doctor if you notice:

A change in the color, odor or amount of vaginal discharge
Vaginal redness or itching
Vaginal bleeding between periods, after sex or after menopause
A mass or bulge in your vagina
Pain during intercourse”.⁶

In About Menopause the JH also note:

“When To See Your Doctor

If you are troubled by irregular cycles
If you are worried about heavy bleeding/bleeding abnormal to you/bleeding between periods and/or after sex
If you have increased PMS (premenstrual syndrome) symptoms and/or pain
If you have some of the symptoms of menopause, such as hot flushes, that interfere with your daily life”.⁷

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Sources

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