All women may experience abnormal pattern of bleeding at least once in a lifetime. The cause of the bleeding is age related. This could be because of hormonal disturbances or other causes such as cervical erosion, cervical polyp, uterine polyps, fibroids or more sinister causes such as womb or ovarian cancer. Abnormal bleeding pattern needs to be investigated especially if it happens after the age of 40. There are different methods of management of abnormal bleeding.