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close this bookWhere Women Have No Doctor - A Health Guide for Women (Hesperian Foundation, 1997, 600 p.)
close this folderChapter 22: Abnormal Bleeding from the Vagina
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Open this folder and view contentsProblems with Monthly Bleeding
Open this folder and view contentsOther Kinds of Bleeding Problems


How to use this chapter:

Most of the causes of the bleeding problems in this chapter are described in other parts of this book. If you have a bleeding problem, look it up here and then turn to the numbered page listed for more information. If the problem is not covered in this book, see a health worker trained to do pelvic exams,


It is normal for monthly bleeding to change from time to time because of illness, stress, pregnancy, breastfeeding, a long journey, overwork, or a change in diet. But if a change in monthly bleeding happens suddenly, lasts more than a few months, or if it comes with other problems, it may be a sign of a more serious problem.

¨ If monthly bleeding suddenly changes, always think about the possibility of pregnancy - even if a family planning method is being used.

Danger signs

If a woman has any of these danger signs, she may need medical help right away. Turn to the numbered page listed for more information.

· bleeding and pain in the abdomen when regular monthly bleeding has been missed
· bleeding in late pregnancy

· heavy bleeding after childbirth, miscarriage, or abortion