The menstrual cycle is controlled by a complex orchestra of hormones, produced by two structures in the brain, the pituitary gland and the hypothalamus along with the ovaries. The length of time from the first day of one period to the first day of the next period normally ranges from 21-35 days. For most women, menstruation happens in a fairly regular, predictable pattern. If pregnancy does not occur, this thickened lining is shed, accompanied by bleeding. This happens because the lining of the uterus has prepared itself for a possible pregnancy by becoming thicker and richer in blood vessels. About once a month, females who have gone through puberty will experience menstrual bleeding. Menstruation is the technical term for getting your period. 31, 2023.How can I figure out what is happening in my cycle? When am I ovulating? American College of Obstetricians and Gynecologists. Centers for Disease Control and Prevention. Approach to the patient with postmenopausal uterine bleeding. Gynecologic history and physical examination. Abnormal uterine bleeding: Premenopausal women (adult). Managing an episode of acute uterine bleeding. Abnormal uterine bleeding in nonpregnant reproductive-age patients: Terminology, evaluation, and approach to diagnosis. Ask your care team about ways to lessen any symptoms. Periods might be heavy or hard to track during this time. Nearing menopause, also called perimenopause. Spotting might happen in the first few months. Also, it's common for light spotting to happen in the days before a period. Menstrual cycles can be hard to track when teens first get their periods. But bleeding that's heavy or lasts longer should be checked by a provider. Some vaginal bleeding may happen during a baby's first month of life. But talk to your care team if you're concerned: Unusual vaginal bleeding during the following stages is likely OK. Any vaginal bleeding in a child younger than 8 is concerning and should be checked by a doctor. Signs of puberty include breast development and underarm or pubic hair growth. Children who don't have any other signs of puberty.But if the bleeding is heavy or goes on longer than six months, see your care team. Some light bleeding is expected with this therapy. Continuous hormone therapy is when you take a low dose of estrogen and progestin daily. Postmenopausal adults taking continuous hormone therapy.But any other vaginal bleeding needs to be checked by a doctor. Some withdrawal bleeding is expected with this kind of therapy. And then, you add progestin for 10 to 12 days a month. Cyclic hormone therapy is when you take estrogen every day. Postmenopausal adults taking cyclic, also called sequential, hormone therapy.But if you notice any vaginal bleeding after menopause without hormone therapy, see a doctor. Some bleeding may happen with these treatments. Hormone therapy is a treatment that helps with menopause symptoms such as hot flashes. Postmenopausal adults who don't take hormone therapy.Be sure to seek care when there is unusual vaginal bleeding in these cases:
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