WOMEN AND THEIR BLEEDING. When does a menstrual period stop being normal?

When does a menstrual period stop being normal?

According to figures from the US Department of Health and Human Services (HHS) Office on Women’s Health (OWH), one in 10 women with heavy menstrual periods may have a bleeding disorder.

Have you evaluated your bleeds? 

We consulted with Dr. Fabio Galeano, a specialist in Internal Medicine of the S.E.S Hospital de Caldas (Colombia), about the parameters to determine that a woman has exaggerated menstrual losses. The professional indicates the following:  

  1. If the menstruation lasts more than seven days.
  2. The woman should have maximum bleeding the first two days of menstruation. If after the third day there is a clot greater than two centimeters, she should begin to be attentive and consider consulting with her doctor.
  3. If she uses more than 10 loaded tampons or pads.
  4. With the menstrual cup it is possible to quantify on average the woman loses between 40 and 50 centimeters (about half the length of a baseball bat) per menstruation, never more than 80.
  5. There must be more than 21 days (about 3 weeks) between the start of one period and another.
  • Normal menstrual flow can occur every 21 to 35 days (about 1 month 4.5 days) and last for 2 to 7 days, though it is different for each and every woman. 
  • Do not forget to always notify your doctor when facing / experiencing any abnormalities. 

The specialist explains that the most common hemorrhagic disease in women is von Willebrand’s disorder. However, he says that when there are heavy periods the following probabilities should be ruled out: 

  1. An endometrial pathology.
  2. Lesions at the endorectal level, such as a uterine myoma or a tumor.
  3. That there is no hormonal alteration.
  4. Reproductive problems.
  5. Finally, although it is rare in women, rule out hemophilia.  


For its part, the OWH clarifies that menstrual cycles can change as a woman ages. The Office states that menstrual periods are usually heaviest in youth (during adolescence) and between 20 and 30 years of age.     

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