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Severe vaginal bleeding

When reviewing the following guidelines, take into account how heavy your normal menstrual flow is. Abnormal vaginal bleeding varies depending on what is normal for a particular woman.

  • Severe bleeding: You have continuous bleeding that soaks 1 or 2 pads or tampons in 1 or 2 hours.
  • Moderate bleeding: You soak more than 1 pad or tampon in 3 hours.
  • Mild bleeding: You soak less than 1 pad or tampon in more than 3 hours.
  • Minimal bleeding: You have "spotting" or just a few drops of blood from the vagina.
Note:

Vaginal bleeding refers to bleeding from inside the vagina, not from a cut or scrape near the vagina.

For most women, soaking more than 2 maxi pads, super pads, or super tampons in 2 hours is not normal and is severe bleeding. This is more serious if you have the following symptoms:

  • New lightheadedness or feeling as if you may pass out
  • Lightheadedness or fainting when you change position
  • Passage of several blood clots that are larger than a quarter

Severe abnormal vaginal bleeding usually requires a visit to a health professional. The more bleeding there is, the more urgent the need for medical attention.

Author Jan Nissl, RN, BS
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Tracy Landauer
Primary Medical Reviewer Kathleen Romito, MD
- Family Medicine
Specialist Medical Reviewer Kirtly Jones, MD
- Obstetrics and Gynecology
Last Updated July 11, 2007

WebMD Medical Reference from Healthwise

Last Updated: July 11, 2007
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.