It is normal for monthly bleeding to change from time to
time because of illness, stress, pregnancy, breastfeeding, a
long journey, overwork, or a change in diet. But if a change
in monthly bleeding happens suddenly, lasts more than a few
months, or if it comes with other problems, it may be a sign of
a more serious problem.
➤ If monthly
changes, always think
about the possibility
if a family planning
method is being used.
If a woman has any of these danger signs, she may need
medical help right away. Turn to the numbered page listed
for more information.
• bleeding and pain in the abdomen when regular
monthly bleeding has been missed (page 73)
• bleeding in late pregnancy (page 74)
• heavy bleeding after childbirth, miscarriage, or abortion
(pages 92, 234, and 251)
Where Women Have No Doctor 2012