Culture and menstruation the ideal of synchronised tidal, lunar, menstrual and seasonal periodicities whose overall harmony (it is believed) confers spiritual power and fertility. To many, such cultural associations appear persuasive in view of the fact that in humans, the menstrual cycle quite closely approximates the moon's 29.5-day synodic cycle, unlike in chimpanzees (~36 days) or bonobos (~40 days). Statistical information from hunter gatherers is lacking, but where large-scale western studies focus on women's peak reproductive years—removing outlier values—the cycle length gravitates around 29.1–29.5 days, while the figure for women in their thirties shortens toward 28 days. In no extant human population has
Heavy menstrual bleeding whose symptoms are not well-controlled. Approximately 53 in 1000 women are affected by AUB. A normal menstrual cycle is 21–35 days in duration, with bleeding lasting an average of 5 days and total blood flow between 25 and 80 mL. Heavy menstrual bleeding is defined as total menstrual flow >80ml per cycle, or soaking a pad/tampon every 2 hours or less. Deviations in terms of frequency of menses, duration of menses, or volume of menses qualifies as abnormal uterine bleeding. Bleeding in between menses is also abnormal uterine bleeding and thus requires further evaluation. Complications of heavy menstrual bleeding could