Does uterine bleeding have anything to do with menstruation?

Patient's question:

I've been married for several years, and so far, we haven't had any children. I'm very anxious about it and don't know if it's my problem. I've asked my husband to get checked, but he refuses. I'm very worried that my condition might worsen. Could you please tell me if uterine bleeding is related to menstruation?

Doctor's answer:

Generally, there is no significant difference between a small amount of uterine bleeding and menstruation. If the bleeding is heavy and (quickly expelled), the uterine bleeding will appear bright red. Similarly, if the menstrual flow is heavy, it may also be the case. How many days apart do you usually have your period?
Suggestions: If your period comes less than 10 days apart, it may be considered dysfunctional uterine bleeding. Additionally, how is your lochia (postpartum discharge)? The condition of uterine recovery is also very important. Are you sexually active? It could also be possible that it is sexual contact bleeding.

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