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

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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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