How to distinguish heavy periods from uterine bleeding: symptoms. Causes and types of uterine bleeding

In this topic, we will look at how to recognize bleeding and distinguish it from heavy critical days. And also talk about the norms and abundance of the menstrual cycle.

Critical days is a very personal topic that is extremely individual. Therefore, you can never clearly answer how it should be. But also this is one of the most important topics for the health of the female body. The fact is that any deviations from such a wide norm indicate violations.

Therefore, in this article, we just find the answer to one very important question - how do heavy periods differ from uterine bleeding. Each girl needs to know the differences, since the profusion of menstruation can be different and at first glance you may not immediately understand that the bleeding has begun.

How to distinguish heavy periods from uterine bleeding?

There are some problems during critical days, which in no case can be ignored. But in order to catch these differences between the usual heavy menstruation and uterine bleeding, you first need to understand what menstruation is.

What is menstruation?

This is part of the menstrual cycle of the female body, which comes during puberty. During this cycle, the egg matures in the ovary, which indicates the readiness of the body to become pregnant. If the egg remains unfertilized, then on the first day of the cycle, it begins to be rejected along with the mucous membrane of the uterus. This is accompanied by menstrual bleeding.

Monthly or uterine bleeding?

Uterine bleeding, at first glance, looks like heavy discharge during menstruation. But still, every woman is simply obliged to know some signs by which one can accurately judge the onset of bleeding. This will indicate that the situation is out of control and anemia may develop!

The minimum period for menstruation is 21 days

Let us consider more carefully these signs, how to distinguish heavy periods from uterine bleeding

SignsNormal or heavy periodsExcess - Bleeding
Allocation Volume During a period of menstruation, a woman loses approximately 50 ml of blood. But this is only a conditional average indicator - 20, 80, and even 150 ml are considered the norm. But remember - this is not a one-time case. That is, the gynecologist has established that this is the norm for your body and this has been happening for more than one month / year.

If you have an average menstruation rate, then an excess of 100-150 ml per day speaks already for bleeding. More than 200 ml requires urgent treatment in a hospital.

Important: A dangerous signal is considered when the periods are so plentiful that even night pads have to be changed literally every hour.

Menstrual period

The average period of the menstrual cycle is 28 days. But again - for some, it happens to be 35, and for someone it is 25, which is also not considered a pathology.

By the way, it was noted that only 13% of all women have an average cycle of 28 days.

If discharge began in less than 21 days or more than 35 days, then you should contact the clinic. A strong deviation from your norm should also alert. Moreover, both up and down.

Monthly periods last the first 5-6 days of the cycle. These figures are also approximate, they may vary slightly among different women. Therefore, it is worth isolating - from 2 to 8 days.

The duration of bleeding is more than 10 days.

Important: Prolonged and copious discharge can cause significant damage to the body!

Discharge intensity

She is also different for every woman. For some, the discharge is of low intensity, for others, on the contrary, very strong. But there is a certain pattern - towards the middle of the cycle they increase, and after - the discharge gradually decreases.

With bleeding, the discharge not only does not decrease with time, but can also increase.

Important: It should be alert if the discharge does not decrease after 3 days of menstruation.


In the same way, the color changes - from red-brown color, which can be slightly darker than venous blood, to almost brown or burgundy tone.

But we pay attention to one more regularity - as a rule, the color gradually darkens, and the consistency becomes more mucous.

With bleeding, the blood is saturated red, even scarlet. However, over time, it does not become a darker shade.

Due to the fact that mucous secretion and endometrial tissue of the uterus and its neck are present in this menstrual blood, the discharge is more viscous. Clots may also appear.

With bleeding, the discharge is liquid, without mucus or clots!

Important: Sometimes an abundance of blood clots that appear for more than 3 days also indicates violations.

PainPain in the lower abdomen is considered normal for most women. But it has a declining character. That is, by 2-4 days its intensity is already decreasing.With bleeding, pain can only increase. The character is much stronger.

Important: In any case, even if you have abundant periods, it is dangerous with anemia! Especially if they are permanent. In this case, you must always consult with a gynecologist!

Please note how often you change your hygiene product within 1 to 2 hours!

Additional symptoms that speak for uterine bleeding:

  • severe tiredness and weakness. After all, the body can not cope with such a load;
  • heart palpitations are possible;
  • lowering blood pressure;
  • discharge may have an unpleasant odor;
  • with uterine bleeding, temperature may rise;
  • from this the woman shivers and / or throws into a sweat;
  • excessive pallor of the skin, which may even speak for the decline of hemoglobin;
  • dizziness appears;
  • possible appearance of blood after intercourse between menstruation. This indicates violations and the possible occurrence of bleeding.

Dangerous symptoms of uterine bleeding that require immediate hospitalization:

  • a woman loses consciousness;
  • sharp pains in the lower abdomen that are increasing in nature;
  • temperature rises above 39 ° C;
  • severe nausea and even vomiting are possible;
  • a strong decrease in pressure;
  • manifestation of anemia.
Listen to other body signals

By the way, the development of anemia will say:

  • fragility of hair and nails;
  • very fatigue;
  • drowsiness;
  • baseless dizziness;
  • the skin becomes pale, clear and dry;
  • memory and concentration worsen.

Possible causes of heavy discharge and uterine bleeding

As already mentioned, sometimes discharge during menstruation can be plentiful. Of course, this causes incredible discomfort and even causes panic. Therefore, it is worthwhile to understand without fail for what reason this happens.

The very first and most important thing is a trip to the gynecologist. And if you think that a trip to this doctor can be planned in the absence of menstruation, then you are mistaken. If you are worried that these days are not going as they should, you should never postpone the trip to the gynecologist. The doctor will be able to draw conclusions about the nature of the discharge and the cause of excessive profusion through examination on a gynecological chair, ultrasound, smears and blood tests.

In any suspicious case, a consultation with a gynecologist is necessary!

There are several reasons why the discharge becomes abundant and even carry the nature of bleeding:

  • endometriosis is a disease of the uterine mucosa. With the detachment of a large amount of endometrium, the discharge increases very much;
  • myoma - This is a benign tumor that forms in the uterine cavity and provokes prolonged periods with the release of a large amount of blood. Myoma is characteristic of reproductive age. After menopause, it decreases on its own;
  • may cause blood loss and polyps;
  • violation of the level of hormones. The hormonal system can also affect the number of endometrial cells, which in turn leads to an increase in the volume of secretions;
  • intoxication of the female body, which is caused by a loss of strength from debilitating and frequent diets;
  • the onset of menopause. During this period, the level of hormones changes very much, which can lead to bleeding;
  • abortion or consequences of abortion / cesarean. Menstruation during pregnancy, which often speak of violations and are actually bleeding, requires special attention. Therefore, we recommend reading material on the topic "Monthly during pregnancy";
  • ectopic pregnancy. By the way, many believe that this is signaled by the early menstruation, which came much earlier than the deadline. But we suggest you read more information on this topic in our material "Causes of menstruation ahead of schedule";
  • postoperative and post-traumatic period;
  • poor blood coagulation and tendency to thrombosis;
  • the presence of various infectious diseases or inflammatory processes;
  • commonplace nervous strain and fatigue;
  • excessive physical activity.

Important: But the cause of bleeding can be much more complicated - it can be uterine tuberculosis, various kinds of ovarian diseases, cysts or even genital cancer!

Sometimes it can be a consequence of serious illness.

It is after studying the results of the research that the doctor will be able to give recommendations to eliminate your problem. Do not prescribe medications or procedures for yourself.

  • It happens that strong discharge appears very sharply during menstruation - it may be after sleep, when we were in a horizontal position for a long time. Or just if you sit for a long time, and then stand up abruptly. In this case, you can not worry. It’s just that the blood managed to clot a little while you were motionless.
  • Also, postpartum discharge is similar to bleeding. They are called Lochia, and this is a completely separate topic. Do not confuse them with the pathology of uterine bleeding. But if the lochia is completed, and instead of them bright red discharge begins, then this is already an occasion to see a doctor.
    • By the way, you can read about the period and duration of menstruation after childbirth in our topic "When do critical days after childbirth begin and how long?"

Important: It is especially important to protect your body during critical days. Do not lift weights and slightly limit your workouts, any physical activity. Exclude sex because during this period the uterus becomes vulnerable to any kind of infection!

Do not self-medicate!

Types of uterine bleeding

Gynecology bleeding is divided into two types, which are of an abnormal nature - These are ovulatory and anovulatory periods. The first discharge is very scarce and with a short period of time, and the second have the opposite picture with a long duration and excessive profusion, as well as poor health. They, in turn, are divided into several types:

  • prolonged bleeding of great profusion (menorrhagia). The reason for this is other diseases of the endocrine and reproductive systems, malnutrition or uterine deformity. Depending on the cause, the treatment may vary;
  • arising suddenly between menstruation bleeding (metrorrhagia). They occur in inflammatory diseases or organic lesions, do not depend on the day of the cycle. They are divided in turn by age categories:
    • menopause that occur during menopause. Do not carry danger if they are not of an intensive nature;
    • and juvenile discharge which are typical for adolescents. They are associated with the not yet fully formed reproductive system;
  • long-lasting period of irregular copious discharge (menometrorrhagia) - also a symptom of various diseases. The treatment for this functional abnormality varies depending on the cause;
  • menstruation that begins again less than 21 days after the completion of the previous cycle (polymenorrhea). This abnormal condition of the menstrual cycle must be of a regular nature in order to establish this diagnosis;
  • worth noting yet breakthrough discharge. They are characteristic of women who use an intrauterine device. This is a direct signal of its rejection or even infection;
  • profuse bleeding have the nature of menstruation, but with greater intensity. It is very difficult to distinguish, it is worth carefully examining the color and texture of the discharge;
  • hypothetical discharge occur after a decrease in the tone of the uterine myometrium after childbirth or abortion.
Make a short cold compress

The doctor can prescribe the right treatment, but some recommendations should be followed before the visit. You need to relax a lot, not to engage in heavy physical exertion and drink more water. It is forbidden to visit baths and saunas, to drink alcohol. And to stop possible uterine bleeding, you should attach a cold heating pad or a bottle of water to the lower abdomen. But no more than 10-15 minutes, because you can earn inflammation!

Take care of yourself and be healthy!

Watch the video: Understanding fibroids and abnormal uterine bleeding (November 2019).