The normal length of the menstrual cycle is typically between 24 days -38 days. A normal menstrual period generally lasts upto 8 days. Bleeding in any of the subsequent situations is considered unusual uterine bleeding

• Bleeding between the periods
• Bleeding after sex
• Heavy bleeding during the period
• Irregular menstrual cycles
• Irregular periods in which the cycle length varies by more than 7-9 days
• Bleeding after menopause

Causes of abnormal uterine bleeding

• Ovulation problems
• Fibroids and polyps
• Bleeding disorders
• Cancers – Endometrial cancer
• others

Diagnosis and treatment

Based on the symptoms and age gynaecologist performs examination and tests including ultrasound scan, hysteroscopy, endometrial biopsy, sonohysterography, magnetic resonance imaging and computed tomography to diagnose the causes of abnormal uterine bleeding Medications including hormone growth control pills, gonadotropin releasing hormones, tranexamic acid and non-steroidal inflammatory drugs help treat heavy or irregular menstrual bleeding