Heavy Menstrual Bleeding: Heavy bleeding during a menstrual cycle is often based off subjective interpretation of their menstrual flow. Many patients with heavy menstrual bleeding also report presence of blood clots, intense menstrual cramping, and excessive blood loss that may leave them feeling fatigued or lightheaded. For clinical purposes, heavy menstrual bleeding is defined as any amount of menstrual bleeding that is excessive to the point of altering a patient’s quality of life and daily activities. Depending on age and different risk factors this concern is evaluated in a variety of ways in order to rule out structural, hormonal, and malignant causes for the bleeding pattern.
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