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The primary difference between implantation bleeding and menstruation is the flow. Bleeding caused by implantation is very light and will stay light. For many women, menstruation starts off light and gets heavier over time. Bleeding from implantation will not cause blood clots like normal menstruation.
Normal menstrual flow lasts about 5 days. It produces a total blood loss of 30 to 80 ml (about 2 to 8 tablespoons), and occurs normally every 21 to 35 days. Vaginal bleeding that occurs between periods or after menopause can be caused by various problems. Most are benign and treatable. Sometimes vaginal bleeding may be due to cancer or pre-cancer. So any unusual bleeding should be evaluated promptly.