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Normal menstruation parameters

Normal menstruation parameters
Parameter Normal Abnormal
Frequency ≥24 and ≤38 days Absent (no bleeding): amenorrhea
Frequent (<24 days)
Infrequent (>38 days)
Duration ≤8 days Prolonged (>8 days)
Regularity Regular: shortest to longest cycle variation: ≤7 to 9 days* Irregular: shortest to longest cycle variation: ≥10 days
Flow volume (patient determined) Patient considers normal Patient considers light
Patient considers heavy
Intermenstrual bleeding (bleeding between cyclically regular onset of menses) None Random
Cyclic (predictable):
  • Early cycle
  • Mid cycle
  • Late cycle
Unscheduled bleeding on progestin±estrogen gonadal steroids (contraceptive pills, rings, patches, IUDs, or injections) Not applicable for patients not on gonadal steroid medication Present
None (for patients on gonadal steroid medication)

IUDs: intrauterine contraceptive devices.

* Normal variation depends on age; these data are calculated excluding short and long outliers.
Data from:
  1. Fraser IS, Critchley HO, Munro MG, Broder M. A process designed to lead to international agreement on terminologies and definitions used to describe abnormalities of menstrual bleeding. Fertil Steril 2007; 87:466.
  2. Fraser IS, Critchley HO, Munro MG, Broder M. Can we achieve international agreement on terminologies and definitions used to describe abnormalities of menstrual bleeding? Hum Reprod 2007; 22:635.
  3. Fraser IS, Munro MG, Broder M, Critchley HO. International recommendations on terminologies and definitions for normal and abnormal uterine bleeding. Semin Reprod Med 2011.
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