The normal length of the menstrual cycle is typically between 24 days and 38 days
Abnormal bleeding would be considered if there is bleeding or spotting between periods, bleeding or spotting after sex, heavy or prolonged bleeding during your period, “irregular” periods in which amount of time between periods from cycle to cycle varies by more than 7–9 days, or bleeding after menopause.
There are times during her life, a women is more likely to experience abnormal bleeding
Periods may not occur regularly when a girl first starts having periods (around age 9–14 years). During perimenopause (beginning in the mid-40s), the number of days between periods may change, and it is possible to skip periods or for bleeding to get lighter or heavier during perimenopause. The evaluation and management of abnormal bleeding depends on your symptoms.
How do we discuss it?
When you come for your visit, we will ask about your health history and your menstrual cycle. It may be helpful to keep track of your menstrual cycle before your visit.
Note the dates, length, and type (light, medium, heavy, or spotting) of your bleeding on a calendar or app. Your symptoms and health history will guide the need for blood tests, biopsy, ultrasound, pregnancy test, and/or screening for sexually transmitted infections. Abnormal uterine bleeding is then treated based on the cause for the abnormal bleeding determined by your evaluation.