A history will establish if the condition is acute or chronic, and if external circumstances are involved. A<unk>  examination is usually complemented by a<unk>  ultrasonography. A blood count determines the degree of anemia and may point out bleeding problems. The pregnancy test is important, particularly as bleeding in early pregnancy presents as<unk> al<unk>  and ectopic pregnancy can be fatal. Diagnosis is broadly classified into supportive and definitive investigations: Supportive # Complete blood count to assess degree of anemia. # Ultrasonography to rule out uterine lesions, PID. Definitive # Pregnancy test for those who are not yet post menopausal mandatory. # Speculum examination to take samples for pap smear. # Dilation and curettage to get samples for histology and also control the bleeding if associated with abortion. # Colposcopy. Definition Menstruation occurs typically monthly, lasts 3–7 days, and involves up to 80 ml blood. Bleeding in excess of this norm in a nonpregnant woman constitutes<unk> . In addition, early pregnancy bleeding has sometimes been included as<unk> , namely bleeding from a miscarriage or an ectopic pregnancy, while it actually represents obstetrical bleeding. However, from a practical view, early pregnancy bleeding is usually handled like a<unk> al<unk> . First aid<unk>  needs to be evaluated as soon as possible by a physician. The amount and duration of bleeding will dictate whether a bleeding event is an emergency event.
Gynecologic hemorrhage
Postpartum bleeding
Obstetrical bleeding
Antepartum bleeding
Postpartum blues
Early pregnancy bleeding
Postcoital bleeding
Vaginal bleeding