Are you experiencing irregular bleeding in between cycles? Vaginal bleeding in between periods ,also called as intermenstrual bleeding or spotting and the medical terminology for this complication is termed as ‘’Metrorrhagia’’. When unscheduled bleeding occurs in between normal periods, it could be due to either hormonal disturbances or there may be growths or erosions inside your genital organs.
Potential reasons for irregular acyclical spotting are:
- Hormone imbalance—usually during adolescence,following childbirth ,abortion or preceding menopause
- Use/change of medicines
- Growth in uterus or cervix as mucus polyp or erosion
- Vaginal dryness
- Intrauterine device user
- Cancer of the cervix or endometrium
The most important among them is cancer cervix, and an intermenstrual bleeding always need an urgent evaluation to rule out cancer.
On the onset of puberty, a period may be quite irregular for months or even years. Usually, it takes few months or even years to get a regular menstrual cycle. The average cycle lasts 21 to 35 days. Menstrual bleeding, also known as your period, can happen for 4 to 5 days. Any bleeding outside of this pattern is considered abnormal.
Spotting after intercourse is also another point of concern. Apart from the local causes,if you are having unprotected sex, bleeding can be a signal of STI like chlamydia or gonorrhea which should be treated promptly. Otherwise you need to see your doctor to rule out certain specific conditions.
Causes of contact bleeding could be
- Carcinoma cervix
- Mucus polyp of cervix
- Vascular ectopy of cervix during pregnancy or in contraceptive pill user
- STI s
- Cervical endometriosis
Complications during pregnancy can cause spotting. Both a miscarriage and an ectopic pregnancy can be presented as bleeding or spotting per vagina. An ectopic pregnancy is a condition when the fertilized egg implants itself in the fallopian tube instead of the uterus.
Lastly,spotting may also be due to any form of vaginal trauma. The vagina and the cervix have lot blood vessels, so they bleed very easily. Forceful sex or sex in menopausal age could cause acute onset spotting persisting for a period.
Other rare causes for spotting can be an object in the vagina, extreme stress, and uncontrolled diabetes.
When to see a doctor
Apart from adolescence and puerperium period, you should see your doctor as early as possible, if you have this form of abnormal vaginal bleeding. As previously discussed,the cause could be often serious and should be determined at an earliest. You also meet your doctor right away if you’re pregnant and have this type of spotting.
Spotting may often get complicated by other symptoms like
In those cases, you may need even admission as it needs to rule out an infection.
Some preventive measures are there through which you can at least avoid these type of abnormal bleeding to some extent. Try to maintain a healthy lifestyle and a normal weight because obesity could lead to abnormal periods. If you take birth control pills, take it regularly as directed to avoid a hormonal imbalance. Exercise moderately to maintain a healthy lifestyle and reduce stress.
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