Abnormal Menstrual Frequency: Weekly Periods Are Not Normal
Normal cycle: 21–35 days. Bleeding every 7 days indicates polymenorrhea or intermenstrual bleeding. Causes: anovulation, endometrial polyp, fibroids, coagulopathy, hormonal contraception, thyroid disease, malignancy.
Red Flags
- Heavy flow (>80 mL or soaking hourly)
- Duration >7 days
- Severe pain
- Age >45
Prompt gynecologic evaluation with ultrasound, labs, possible endometrial sampling.
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