At some point in most women's life, they experience abnormal vaginal bleeding or discharge. This spotting between periods can be worrying and frustrating.It is usually common in menopause, pregnancy, miscarriage or gynaecological conditions such as endometriosis, ovarian cyst and uterine fibroids.
When is Your Bleeding considered Abnormal?
Any bleeding from the vagina that is outside your monthly menstrual period is considered to be abnormal. Or when your period is lighter or heavier than normal.
Your vaginal blood flow is considered abnormal if:
- It is happening when you are not on your period
- It is lighter than your normal period or heavier
- You have reached menopause, pregnant or below the age of 9.
What is A Normal Vaginal Bleeding
Your monthly period is a normal and expected blood flow.
A menstrual period occurs when the uterus sheds it's lining around two weeks after ovulation. Menstruation usually last for 3-5 days long.
A woman's menstrual cycle starts from the first day of her period. Changes in level of the progesterone and estrogen hormone is what controls the cycle.
An egg is released from the ovaries around the middle of your cycle to make pregnancy possible.
After ovulation the progesterone hormone level increases to thicken the uterine walls.
If the egg is not fertilised by a sperm, it disintegrates around 24 hours. The thickened walls of the uterus is then shed as blood 2 weeks later. And then another menstrual cycle begins.
Causes of Bleeding Between Periods
There are many possible causes of blood discharge or flow from the vagina at odd times. Odd times such as brown spotting one weeks after period has ended, before period and intermenstrual.
2. Ectopic Pregnancy
3. Implantation Bleeding
6. Ovarian Cysts
8. Uterine Fibroids
When To See The Doctor
It is important to see a doctor immediately you have any form of abnormal bleeding. Call the doctor immediately if you are pregnant or you experience any of the following:
- Light headedness or dizziness
- Abdominal pain or cramping
- Heavy Bleeding
The doctor will ask ask some questions about your medical history and background. He/She would also ask about the symptoms you are having.
A pelvic examination, CT Scan or Ultrasound scan may also be carried out to determine the root cause of the abnormality.
A pregnancy test and test for sexually transmitted infections may also be carried out.
A cervical screening test is also recommended if you have not been doing one regularly.
You may be referred to a gynaecologist.
Because the causes of an abnormal bleeding is so numerous. There is no specific treatment.
But based on your symptoms the doctor will recommend a treatment appropriately.
I spotted from vagina not on my period
It can be worrying if you spotted from vagina and it's not mensuration.
If you are trying to get pregnant and you notice spots of blood few days before your period is due then it may be implantation spotting.
Other causes of spotting without menses are: menopause, perimenopause, ovulation, female health problems.