Bleeding Patterns & Amount of Flow
I thought it might be interesting to have a section devoted to how women bleed.
OK, some might find this gross, but it's interesting, as not all women bleed the same.

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Amount of Flow
The "average" amount of blood lost during a period can be very different between women.  What is "normal" for one woman will seem too little or too much for another.  Another problem when measuring the flow is that not all of what makes up menstrual flow is actual "blood", only about half of it is, and some "average" amounts are calculated using the blood content, not total volume of what you loose as menstrual flow.

According to the Monash University's health website:

"normal menstrual blood loss has a mean volume of 30-40 mL (Fig.1). The range of normal menstrual blood loss is typically 10-80 mL."
http://www.med.monash.edu.au/ob-gyn/research/menorr.html
I have read that measuring the blood loss is done by one of 3 ways:
1). Weighing used and fresh pads, taking the weight difference to be the blood lost.
2). Using images of disposable pads rated from "spotting" to "soaked" to calculate flow, with the pictures corresponding to pre determined fluid amounts (eg an image of a soaked pad might be considered to be equal to 10mls)
3). Chemical tests (alkaline hematin) are done to measure the actual blood content found on the pads.
I'm unsure which method is used relating to the measurement of over 80mls being excessive.  Only a chemical test would be able to determine the amount of actual blood in a sample, where other measurements, particularly simply weighing the pad, can take other fluids into account, such as sweat and other vaginal secretions.  I believe there could be problems with these methods:
A pictorial assessment - such as comparing your flow to that of images of blood on a pad cannot be an accurate way to measure volume of blood lost, as the pads absorbency is designed to pull wetness from the top and may disguise the actual amount of blood lost.... I know that I've looked at the top of a pocket style pad and then been surprised at the amount of blood on the inserts inside it, as they held more blood than I'd imagined.  If a sample pad is used and certain volumes of liquid poured onto it as the method of determining how much volume the pads equate to (which is how I assume they calculate those pictorial tests).... different brands of disposable pad would presumably give different levels of absorption and have a different appearance, so it would only be accurate if the same type of pad is used by the woman as was used for the sample.

Weighing pads would be rather time consuming, but would give a more accurate measurement than comparing your flow to images.  However sweat and vaginal secretions may also be on the pad, which may affect its weight.  Also some evaporation may occur too, and dry blood would presumably weigh less than wet blood.

Some informal polls have been done in a few communities, asking women to calculate their flow.  This is generally collected in Menstrual Cups, where exact volumes can be measured.  The results are quite interesting, and show that even if half of what is measured is not "blood", many women still have a blood loss over the 80mls that would be considered "excessive":

http://www.nappycino.com.au/forum/showthread.php?t=13831
http://community.livejournal.com/menstrual_cups/392108.html?nc=13

(A side topic on heavy bleeding from the LJ post  is here)

{If your bleeding is affecting your quality of life, or you think it is excessive, it might be worth a trip to the Dr to have a checkup.}

Links
http://www.blackwellpublishing.com/isth2003/abstract.asp?id=7605
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=4650663&dopt=Abstract

Bleeding Patterns
Following on from the amount of flow - showing women bleed in different amounts, I thought it might be interesting to include a section on this!

If you've ever wondered why some women like what you consider to be a nappy as a pad.... or how some women can wear a mere scrap of fabric without leaking, it may surprise you to know that not all women bleed the same way.

The flow gallery has now been moved:

http://flowgallery.wordpress.com


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