User:Mr. Ibrahem/Vaginal bleeding

Vaginal bleeding is any bleeding from the vagina. It is classified as either normal or abnormal. Normal vaginal bleeding occurs in women of child bearing age every 24 to 38 days, with each episode lasting 4.5 to 8 days, and resulting in the loss of 5 mL to 80 mL of blood. In women of child bearing age bleeding which is excessively heavy, occurs between periods, occurs more or less frequently, is prolonged in duration, or occurs after sex is abnormal.

Bleeding before puberty, during pregnancy, and after menopause is generally abnormal. Bleeding before puberty may occur due to trauma, tumors, or foreign objects. Bleeding during early pregnancy may occur due to implantation, miscarriage, ectopic pregnancy, or subchorionic bleeding; while bleeding during later pregnancy may occur due to placenta previa, placenta accreta, or placental abruption. Bleeding after menopause may occur due to atrophic vaginitis, thyroid problems, or cancer of the female reproductive tract.

Other causes of vaginal bleeding may include bleeding disorders or liver disease. Bleeding from the urinary tract or rectum may be mistaken for vaginal bleeding.

The work up of a person with vaginal bleeding depends on their age. A pregnancy test is recommended in all women of childbearing age. In those with significant bleeding, stabilization, vaginal packing, and blood transfusions may be required. Otherwise treatment depends on the underlying cause. Abnormal uterine bleeding affects about 20% of women of child bearing age.