Patient: Hi, I am a 51 year old woman who started a period on 19 February which lasted 7 or 8 days (normal for me). I then had 5 days clear but started bleeding again on 3 March, which has continued to date. Is this normal in a premenopausal woman?
Doctor: Although heavy menstrual bleeding is a common concern among premenopausal women, most women don’t experience blood loss severe enough to be defined as menorrhagia. If you have very heavy menstrual bleeding, talk with your doctor. A number of conditions may cause menorrhagia, common causes include: hormonal imbalance, dysfunction of the ovaries, uterine fibroids, polyps, adenomyosis, inherited bleeding disorders, thyroid problems and rarely uterine cancer. You doctor may do blood tests, PAP smear, endometrial biopsy and ultrasound scan based on your history and physical examination to determine the cause of the bleeding. I hope that answers your question, I wish you well.