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Suggested 'normal' limits for menstrual parameters in the mid reproductive years

Authoring team

Suggested normal limits for the four main clinical dimensions of menstruation and the menstrual cycle are (1):

clinical dimensions of menstruation and menstrual cycle

Descriptive terms

normal limits (5th-95th centiles)

Frequency of menses (days)

frequent

<24

normal

24-38

infrequent

>38

regularity of menses (cycle-to-cycle variation over 12 months; in days)

absent

regular

Variation +/-2 to 20 days

irregular

Variation > 20 days

duration of flow (days)

prolonged

>8

normal

4.5-8

shortened

<4.5

volume of monthly blood loss (ml)

heavy

>80

normal

5-80

light

<5

Reference:

  1. Peter Joseph O'Donovan, Charles E Miller. Modern Management of Abnormal Uterine Bleeding (2008).

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