Oligomenorrhea | Bleeding occurs at intervals of > 35 days and usually is caused by a prolonged follicular phase. |
Polymenorrhea | Bleeding occurs at intervals of < 21 days and may be caused by a lutealphase defect. |
Menorrhagia | Bleeding occurs at normal intervals (21 to 35 days) but with heavy flow (80 mL) or duration (7 days). |
Menometrorrhagia | Bleeding occurs at irregular, noncyclic intervals and with heavy flow (80 mL) or duration (7 days). |
Amenorrhea | Bleeding is absent for 6 months or more in a nonmenopausal woman. |
Metrorrhagia or bleeding intermenstrual | Irregular bleeding occurs between ovulatory cycles; causes to consider include cervical disease, intrauterine device, endometritis, polyps, submucous myomas, endometrial hyperplasia, and cancer. |
Midcycle spotting | Spotting occurs just before ovulation, usually because of a decline in the estrogen level. |
Postmenopausal bleeding | Bleeding recurs in a menopausal woman at least 1 year after cessation of cycles. |
Acute emergent abnormal uterine bleeding | Bleeding is characterized by significant blood loss that results in hypovolemia (hypotension or tachycardia) or shock. |
Dysfunctional uterine bleeding | This ovulatory or anovulatory bleeding is diagnosed after the exclusion of pregnancy or pregnancy-related disorders, medications, iatrogenic causes, obvious genital tract pathology, and systemic conditions. |