Definition

• Heavy menstrual bleeding

• Uterine leiomyomas (fibroids)
• Endometrial polyp
• Adenomyosis (uterine endometriosis)
• Bleeding disorder, eg, von Willebrand’s disease, thrombocytopenia, leukemia
• Hypothyroidism

• Abnormal premenopausal bleeding (increased or irregular bleeding)
• Dysmenorrhea