|Where Women Have No Doctor - A Health Guide for Women (Hesperian Foundation, 1997, 600 p.)|
|Chapter 22: Abnormal Bleeding from the Vagina|
|Problems with Monthly Bleeding|
· Monthly bleeding is heavy if a pad or cloth is soaked through in less than one hour
· Monthly bleeding is long if it lasts for more than 8 days.
· Blood clots (soft, dark red, shiny lumps in the blood that look like liver) are also a sign of heavy bleeding,
· Heavy bleeding that goes on for many weeks, months or years can cause weak blood (anemia).
· The hormones may be out of balance so the ovary does not release an egg. This is common for women under 20 and women over 40 years of age.
· An intra-uterine device (IUD) may be making monthly bleeding more heavy.
· Miscarriage, even if you did not think you were pregnant.
· If you have pain in the abdomen with bleeding, you may have a pregnancy outside the womb in the tube. URGENT. Go to a hospital right away.
· You may have a problem with the thyroid gland.
· You may have growths (fibroids or polyps) or cancer in your womb.
See a health worker trained to do pelvic exams if you have heavy bleeding and:
· blood gushes from your vagina.
· monthly bleeding has been heavy and long for 3 months.
· you think you might be pregnant.
· you have severe pain with the bleeding.