What are the causes of abnormal menstrual bleeding

The normal menstruation has been described as the loss of an average volume of flow (over the menstrual period) of approximately 40 ml. Bleeding more than 80 ml per period can cause anemia. The perception of patients in the amount of bleeding is variable. There is no correlation between blood measurement and valuation the patient's own menstrual flow. It is clearly unusual three pads soaked per hour or the clothes they wear and the cause should be evaluated by laboratory studies.

Menstruation in young adolescents is typically no ovulation, although only a small percentage of it is extremely abundant. There is evidence suggesting that the younger the patient at the onset of menstruation before ovulatory cycles are established. The normal bleeding during adolescence assessment deserves special attention to the problems that occur in this age group. Excessive bleeding is associated with complications of pregnancy (abortion) should always be taken into consideration.

It is essential to obtain a sexual history in an environment that inspires confidence (with the patient alone without parents present). Voluntary intercourse and sexual abuse are, unfortunately, likely always to be covered and questions directly. However, because of the potential consequences of serious and even fatal to ignore a complication related to pregnancy, you should always do a pregnancy test in a patient with abnormal bleeding, even if it denies sexual activity. Should also be considered and blood diseases of the thyroid.

 

 

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