Hesperian Health Guides

Hesperian Health Guides

Problems with Monthly Bleeding

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HealthWiki > Where Women Have No Doctor > Chapter 22: Abnormal Bleeding from the Vagina > Problems with Monthly Bleeding


Heavy monthly bleeding, or bleeding that lasts a long time

  • 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).

  • Miscarriage, even if you did not think you were pregnant.

URGENT. Go to a hospital right away.

  • You may have a problem with the thyroid gland.


IMPORTANT! 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.

Light monthly bleeding

Light bleeding each month is not a health problem.

  • Some family planning methods—like injections, implants, and the pill—can make you bleed less after you have been using them for some time.
  • Your ovaries may not have released an egg.

Monthly bleeding that comes too often, or bleeding at other times

Something may be wrong if monthly bleeding comes more often than every 3 weeks, or if it comes and goes without a regular pattern.


Hormonal family planning methods such as pills, implants, or injections, can change monthly bleeding.

When Monthly Bleedings Come Too Far Apart, or Have Stopped

Monthly bleeding usually comes about every 21 to 35 days. It may be normal to have an even longer time between bleeding. But something may be wrong, or you may be pregnant, if your monthly bleeding does not come at all.

If you are over 18 and have never had a monthly period, get medical help.

When a woman grows older, her monthly cycle changes.
This page was updated:11 Sep 2017
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