TermAbnormal uterine bleeding pattern
OligomenorrheaBleeding occurs at intervals of > 35 days and usually is caused by a prolonged follicular phase.
PolymenorrheaBleeding occurs at intervals of < 21 days and may be caused by a lutealphase defect.
MenorrhagiaBleeding occurs at normal intervals (21 to 35 days) but with heavy flow (80 mL) or duration (7 days).
MenometrorrhagiaBleeding occurs at irregular, noncyclic intervals and with heavy flow (80 mL) or duration (7 days).
AmenorrheaBleeding is absent for 6 months or more in a nonmenopausal woman.
Metrorrhagia or bleeding intermenstrualIrregular bleeding occurs between ovulatory cycles; causes to consider include cervical disease, intrauterine device, endometritis, polyps, submucous myomas, endometrial hyperplasia, and cancer.
Midcycle spottingSpotting occurs just before ovulation, usually because of a decline in the estrogen level.
Postmenopausal bleedingBleeding recurs in a menopausal woman at least 1 year after cessation of cycles.
Acute emergent abnormal uterine bleedingBleeding is characterized by significant blood loss that results in hypovolemia (hypotension or tachycardia) or shock.
Dysfunctional uterine bleedingThis 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.