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Uterine bleeding patterns

Uterine bleeding patterns
Bleeding pattern Definition
Bleeding
  • Any bloody vaginal discharge that requires the use of such protection as pads or tampons
Spotting
  • Any bloody vaginal discharge that is not large enough to require sanitary protection
Bleeding/spotting episode
  • One or more consecutive days on which bleeding or spotting has been entered on the diary card
Bleeding/spotting-free interval
  • One or more consecutive days on which no bleeding or spotting has been entered on the diary card
Bleeding/spotting segment
  • One bleeding/spotting episode and the immediately following bleeding/spotting-free interval
Reference period
  • The number of consecutive days upon which the analysis is based (usually taken as 90 days for women using long-acting hormonal systems, and 28 or 30 days for women using once-a-month systems, including combined oral contraception)
Different types of analysis, which can be undertaken on bleeding patterns within a reference period
  • Number of bleeding/spotting days
  • Number of bleeding/spotting episodes
  • Mean, range of lengths of bleeding/spotting episodes (or medians and centiles for box-whisker plot analysis)
  • Mean, range (medians and centiles) of lengths of bleeding/spotting-free intervals
  • Number of spotting days and spotting-only episodes
Data from: Fraser IS. Bleeding arising from the use of exogenous steroids. Baillieres Best Pract Res Clin Obstet Gynaecol 1999; 13:203.
Graphic 103240 Version 1.0

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