Abnormal uterine bleeding (AUB) refers to any bleeding that is different from normal monthly periods.1 Normal periods occur at an interval of 24 to 38 days, last for 2 to 7 days and result in a blood loss of 5 to 80 mL.2 You may experience changes with respect to the regularity, duration, frequency or volume of blood flow during periods.3 If you notice changes in any of these parameters, you may have abnormal uterine bleeding.2 However, if you experience periods with abnormally heavy bleeding or longer duration of bleeding, you might have heavy menstrual bleeding (HMB). .4
Abnormal uterine bleeding occurs in about one-third of women in their life, with irregularities most commonly occurring at menarche (first occurrence of periods) and perimenopause (around the time of menopause; menopause means permanent end of periods).2
In India, around 18% of women have abnormal uterine bleeding.5 It can affect the quality of social, mental and emotional health of women to a great extent.6