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Definition Vaginal bleeding in pregnancy is bleeding coming through the vagina during pregnancy, for any reason. Alternative Names Pregnancy - vaginal bleeding; Maternal blood loss Considerations Up to 10% of women have vaginal bleeding at some time during their pregnancy, especially in the first 3 months (first trimester). Bleeding is even more common with twins. To help prevent a miscarriage or other problems during pregnancy: Avoid smoking and using drugs of any kind, including alcohol. Eat a well- balanced diet . Get regular medical checkups. Take prenatal vitamins (or vitamins high in folic acid) before and after getting pregnant. Common Causes During the first 3 months, vaginal bleeding may be a sign of a miscarriage or ectopic pregnancy. See the doctor right away. During months 4 - 9 bleeding may be a sign of: Abruptio placentae Miscarriage Placenta previa Vasa previa Other possible causes of vaginal bleeding during pregnancy: Early labor (bloody show) Ectopic pregnancy Infection of the cervix Trauma...
Definition Dysfunctional uterine bleeding (DUB) is abnormal bleeding from the vagina that is due to changes in hormone levels. Alternative Names Anovulatory bleeding; Bleeding - dysfunctional uterine; DUB; Abnormal uterine bleeding; Menorrhagia - dysfunctional; Polymenorrhea - dysfunctional; Metrorrhagia - dysfunctional Causes, incidence, and risk factors The menstrual cycle, or period, is not the same for every woman. On average, menstrual flow occurs every 28 days (most women have cycles between 24 and 34 days apart), and lasts 4 - 7 days. The menstrual cycle of young girls who are just starting to have their periods can range from 21 to 45 days or more apart. Women in their 40s will often notice their menstrual cycles occurring less often. During a normal menstrual cycle, levels of different female hormones made by your body go up and down. Estrogen and progesterone are two very important hormones. Ovulation is the part of the normal menstrual cycle when an egg is released from the ovaries...
Irregular menstruation; Heavy, prolonged, or irregular periods; Menorrhagia; Polymenorrhea; Metrorrhagia and other menstrual conditions; Abnormal menstrual periods; Abnormal vaginal bleeding
Apgar BS, Kaufman AH, George-Nwogu U, Kittendorf A. Treatment of menorrhagia. Am Fam Physician . 2007;75:1813-1819.
Lobo RA. Abnormal uterine bleeding: Ovulatory and anovulatory dysfunctional uterine bleeding, management of acute and chronic excessive bleeding. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology . 5th ed. Philadelphia, Pa: Mosby Elsevier;2007:chap 37.
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