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Abnormal Bleeding Diary for a Doctor Visit

A plain bleeding diary, symptom log, and appointment prep sheet for spotting, bleeding between periods, heavy flow, or cycle changes.

Abnormal bleeding can be hard to explain from memory. A calendar alone may miss the part your clinician needs: how much, how often, what changed, and what else happened that week.

Use this diary for paper, notes, a spreadsheet, or Floriva. Bring the summary page to your visit. This page is not medical advice. If you have heavy bleeding, severe pain, faintness, pregnancy concerns, or bleeding after menopause, call a clinician.

Fast summary for your visit

Fill this in before the appointment.

Field Your notes Main concern Date the change started Last normal period start date Current birth control or hormone medicine Pregnancy test date and result, if relevant Heaviest bleeding day Biggest clot size Worst pain score, 0 to 10 Symptoms with bleeding What you want help with today

What to log each day

Use one row per day. Keep the words plain. Your goal is a clear pattern, not perfect medical terms.

Date Cycle day Bleeding type Flow Products used Clots Pain 0 to 10 Other symptoms Notes : : none, spotting, period, between periods, after sex none, light, medium, heavy, very heavy pad, tampon, cup, liner count none, small, quarter size, larger dizzy, tired, nausea, fever, pelvic pressure

Flow words that help

Word What it means in your diary Spotting Marks on underwear or liner. No pad or tampon needed. Light Protection lasts most of the day. Medium You change protection every few hours. Heavy You change often or plan your day around bleeding. Very heavy You soak through fast, leak, or feel worried by the amount.

Do not try to make your body fit the table. Write what happened. "Leaked through jeans at work" is useful. So is "brown spotting for four days before full flow."

Patterns to flag

Mark any pattern that fits. This does not tell you the cause. It helps your clinician ask better questions.

Bleeding between periods. Bleeding after sex. Bleeding after menopause. Periods that last longer than usual. Periods that come much closer together than usual. New heavy bleeding. New large clots. New pelvic pain or pressure. Dizziness, faintness, shortness of breath, or severe fatigue. Bleeding after a missed period or possible pregnancy. Bleeding that started after a new medicine, birth control, or device.

If any item feels urgent, do not wait for a full diary. Call your clinician.

Questions to ask your clinician

Bring the questions that fit. Cross out the rest.

What bleeding pattern do you see in my diary? Does this count as abnormal uterine bleeding? Could pregnancy, miscarriage, or birth control explain this? Do I need a pregnancy test today? Do I need blood work for anemia or thyroid issues? Do I need testing for infection? Do I need an ultrasound or other imaging? Could fibroids, polyps, PCOS, perimenopause, or endometriosis fit this pattern? Should I change any medicine or birth control? What symptoms mean I should call right away? When should I follow up if the bleeding continues?

A short script for the appointment

Use this if you freeze up in the room.

"My bleeding changed on . Since then, I have had . The heaviest day was . I used products that day. My worst pain was out of 10. I am worried about . I would like to know what to check next."

If the visit is short, start with the facts that changed your daily life. Leaks, missed work, sleep loss, pain, and fear matter.

Privacy note

Bleeding notes can include sex, pregnancy, miscarriage, birth control, and location details. If you keep this diary in an app, know where the data goes.

Floriva can hold this kind of log on your device. A notebook can too. The right choice is the one you can keep private and bring to care when you need it.