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Abnormal Vaginal Bleeding

abnormal vaginal bleeding, reproductive health, family planning

What’s Causing Unusual Spotting And Bleeding?

Spotting refers to light vaginal bleeding when you don’t have your period. This is also called intermenstrual bleeding, wherein spotting or bleeding between your normal periods.

A lot of women experience intermenstrual bleeding. It shouldn’t be a cause of concern in most cases, but sometimes it’s a sign of an underlying condition.

Have you experienced intermenstrual bleeding? Read on to learn what are the possible causes.

Causes of intermenstrual bleeding

There are a lot of possible causes of intermenstrual bleeding. Take note of the days when you experience the bleeding, and the other symptoms you are feeling if there are any. Your doctor may help you find out what’s causing it and give you advice for the treatment.

Hormonal Imbalance

The menstrual cycle is regulated by two hormones: estrogen and progesterone. You may experience spotting when their levels get out of balance. Some things that can affect your hormonal balance are:

  • Dysfunctional ovaries
  • Thyroid gland problems
  • Starting or stopping oral contraceptive pills (but this will balance out later on)

Uterine Fibroid

Uterine Fibroids are noncancerous and grow in the uterus. They’re usually benign and shrink on their own. Aside from intermenstrual bleeding, other symptoms of fibroids may include:

  • Heavy or longer periods
  • Pelvic pain
  • Lower back pain
  • Painful sex
  • Urinary problems

Some women may not experience any symptoms at all.

Sexually transmitted infections

Sexually transmitted infections (STIs) such as chlamydia and gonorrhea may cause intermenstrual bleeding or bleeding after sex. Other symptoms of STI are:

  • Pain when urinating
  • White, yellow, or green vaginal discharge
  • Itching of the vagina or anus
  • Pelvic pain

STIs can be easily treated and will not cause serious complications, as long as they are completely and properly cured early. Contact your doctor immediately if you think you have an STI.

Pelvic inflammatory disease

You can develop pelvic inflammatory disease (PID) if the bacteria from the vagina spread to the uterus, fallopian tubes, or ovaries. The inflammation of the reproductive organ leads to scarring. Other symptoms of PID aside from intermenstrual bleeding are:

  • Pain during sex or urination
  • Pain in the lower or upper abdomen
  • Fever
  • Increased or foul vaginal discharge

Contact your doctor immediately if you experience any symptoms of PID. It can be successfully treated and be prevented from developing complications if diagnosed early.

Cancer

In rare cases, cancer can cause intermenstrual bleeding. These may include:

  • Endometrial or uterine cancer
  • Cervical cancer
  • Ovarian cancer
  • Vaginal cancer

Pregnancy Complication

A lot of women experience spotting or bleeding during their first trimester. The bleeding may be light and colored pink, red, or brown.

Complications such as a miscarriage and ectopic pregnancy may also cause bleeding during pregnancy.

If you suddenly have bleeding, it doesn’t immediately mean you’re experiencing a complication during your pregnancy. It’s still best to contact your doctor immediately if you’re experiencing bleeding, especially if it’s heavy and accompanied by pelvic pain.

Contraception

It’s common to experience intermenstrual bleeding during the first three months of using contraceptives such as pills, IUDs, implants, and injectables. The intermenstrual bleeding will be gone when the body has adjusted to the contraceptive.

If the bleeding is heavy and lasts for more than three months, it’s best to consult a doctor about this. They may suggest another contraceptive method for you.

Intermenstrual bleeding may also happen if you don’t take your contraceptives as instructed. An example would be missing your pills.

Ovulation

Some women may experience ovulation spotting in between their periods. The bleeding happens during ovulation, when the ovary releases an egg cell. Read more about ovulation spotting here

Implantation

One of the early signs of pregnancy is implantation bleeding, but not all women will experience it. It occurs when the fertilized egg cell attaches to the uterine lining.

Implantation bleeding often happens a few days before your next expected period. The flow is much lighter and shorter than your typical period.

Perimenopause

Perimenopause is the transition to menopause. Hormones are already unstable at this stage. Your periods become irregular, you may experience unusual spotting, and there may be months when you don’t get your period.

Trauma

Intermenstrual bleeding may result from trauma in the vagina or cervix. This can be due to:

  • Sexual assault
  • Rough sex
  • An object, such as a tampon or sex toy
  • A procedure, such as a pelvic exam

Uterine or cervical polyps

Polyps are abnormal tissue growths. They can be found in the uterus or cervix. Polyps are noncancerous in most cases.

Cervical polyps don’t usually show symptoms, but they may cause:

  • Light bleeding after sex
  • Light bleeding between periods
  • Unusual vaginal discharge

Generally, no treatment is needed except when they’re causing bothersome symptoms. If the doctor recommends removing the polyps, it’s generally easy and painless.

Uterine polyps are more common in women who have finished menopause. Some may experience light bleeding, while some may not have any symptoms.

Endometriosis

Endometriosis is a condition where the uterine lining grows in places where they shouldn’t be. Other symptoms of endometriosis are:

  • Pelvic pain and cramping
  • Painful periods
  • Heavy periods
  • Pain during sex
  • Trouble getting pregnant
  • Painful urination and bowel movements
  • Diarrhea, constipation, bloating, or nausea
  • fatigue

Polycystic ovary syndrome (PCOS)

PCOS is a condition wherein the ovaries or adrenal glands too much “male” hormones. For some women with PCOS, they don’t have periods at all or have very few periods in a year.

Besides intermenstrual bleeding, other possible symptoms of PCOS are:

  • Irregular periods
  • Pelvic pain
  • Weight gain
  • Excessive hair growth in unwanted areas
  • Infertility
  • Acne

Stress

Stress can affect your body in many ways, including your menstrual cycle. Some women may experience intermenstrual bleeding because of high levels of physical or emotional stress.

Medications

Some medications such as blood thinners, thyroid medications, and hormonal drugs can cause intermenstrual bleeding.

Rare causes

In rare cases, diabetes, liver disease, kidney disease, and significant weight gain or loss may also cause intermenstrual bleeding.

What to do

If you think your spotting is a sign of pregnancy, take a pregnancy test to find out. But if you already know that you’re pregnant and you’ve experienced intermenstrual bleeding, let your doctor know immediately.

Consult a doctor if you are experiencing intermenstrual bleeding. What’s causing it may be a condition that needs medical attention immediately. It will also help your doctor diagnose you if you take note of the days you experience the intermenstrual bleeding, and what other symptoms you are experiencing.

Other symptoms you should also watch out for are:

  • Fever
  • Pain
  • Dizziness
  • Easy bruising

Women who have already been through menopause and are experiencing bleeding should seek medical attention immediately.

If your intermenstrual bleeding began ever since you took your first contraceptive method, give it three to six months for the bleeding to settle. Talk to your doctor if the intermenstrual bleeding persists or gets worse.

Treatment and prevention

There are no home remedies for intermenstrual bleeding. The right treatment for you depends on what’s causing it, which is why it’s important to get checked by your doctor.

If you’re using contraceptives, use them correctly as to how you are instructed. Also, try to lessen your stress levels by giving yourself time to relax and unwind. Having a healthy lifestyle also keeps your body functioning well. Engage in moderate physical activity regularly, and eat a balanced diet.

There are a lot of possible causes of intermenstrual bleeding. Some require immediate medical attention and treatment, while some are not harmful at all. Any intermenstrual bleeding should be consulted immediately. The only way to find out what’s causing it is by going to your doctor.

Sources:

https://www.healthline.com/health/womens-health/spotting-before-periods

https://www.medicalnewstoday.com/articles/321811

https://www.webmd.com/women/spotting-between-periods

https://www.healthline.com/health/vaginal-bleeding-between-periods#seek-medical-help

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666 thoughts on “Abnormal Vaginal Bleeding

  1. Hello po after 1 week regla ko akala ko wala na ako pero nagtalik po kami ng partner ko since may 11 nagkroon po ako after 7days nawala na po and after po nung regla na yun everytime po na magsex po kami may dugo po. Ano po ba tawag dun or cause non? Wala naman siya dugo pag di kami nagssex pero pag may nangyayari po samin may dugo po paki help po ako. Salamt po

    1. Hi! Maraming posibleng sanhi ng pagdurugo sa pagtatalik, pero ang karaniwang dulot nito ay priksyon at kiskisan lalo na sa penetrasyon. Baka makatulong sa inyo ang paggamit ng water-based lubricant gaya ng EZ Lubricating Jelly para mabawasan ang priksyon at pagsusugat na nagdudulot ng pagdurugo. Basahin po ito: https://doitright.ph/tl/pagdurugo-pagkatapos-ng-pagtalik/

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  2. hello po irregular po ang mens ko pero mula May 22 may napansin akong patak na dugo sakin gang ngayon May 24 na po malabnaw at konti lang po . May 3 pa po yung last contact namin ni Mr. wala naman po akong nararamdamang pain ano po bang nangyayare sakin anf best na gawin ko po ?

    1. Hi, Jenefer! Maraming posibleng sanhi ng pagdurugo na walang kinalaman sa regla, kasama na rito ang stress, timbang, diyeta, pagbabago sa antas ng mga hormon, at iba pa. Baka makatulong po sa inyo ang pagbabawas sa stress at paggawa ng libangan na nakakarelaks. May ibang sintomas pa po bang nararanasan? Mabuting makipag-ugnay rin sa OB/GYN o malapit na health center para masuri kung ano sanhi nito at mapayuhan ka kung ano pwedeng lunas, lalo na kung nakakaranas ng iba pang sintomas o nahihirapan kumilos sa araw-araw na gawain.

  3. Hi po sana mapansin nio po ito!
    Dinudugo po ako halos araw araw po kahit tapos na po regla ko. Halos ang lakas po ng dugo april pa po nag umpisa ang pag durugo ko! Halos wala pong tigil. Ano poba pwedeng mainom na gamot para mawala pag durugo ko? Salamat po.

    1. Hi, Valerie! Pasensya po at hindi kami maaaring magreseta ng gamot. Maraming posibleng sanhi ng iyong nararanasan, gaya ng impeksyon o kondisyon. May mga babae po na nakita nilang nakatulong ang paginom ng oral contraceptive pills. Doktor lang po ang makakasuri sa inyo at makakapagtukoy kung ano ang tiyak na sanhi. Mabuting makipag-ugnay na kaagad sa OB/GYN ukol dito o magpunta sa malapit na health center para makita ang sanhi at mapayuhan ka kung ano ang angkop na lunas para sa iyong sitwasyon.

  4. Hi po sana mapansin ninyo bakit po may lumalabas na dugo pag nagkokontak kami ng mister ko kahit wala naman akong period pa. Tapos masakit pa sa loob kaya nahihirapan pako magtrabaho ano kaya pwede kong gawin sana matulungan niyo po ako thankyou

    1. Hi, Nicha! Maraming posibleng sanhi ng pagdurugo sa pagtatalik, pero ang karaniwang dulot nito ay priksyon at kiskisan lalo na sa penetrasyon. Baka makatulong sa inyo ang paggamit ng water-based lubricant gaya ng EZ Lubricating Jelly para mabawasan ang priksyon at pagsusugat na nagdudulot ng pagdurugo. Basahin po ito: https://doitright.ph/tl/pagdurugo-pagkatapos-ng-pagtalik/

      Mabibili ang EZ Lubricating Jelly sa pangunahing botika at convenience store. Maaari mo rin ito mabili online!
      Lazada: https://www.lazada.com.ph/shop/trust-philippines-1524467118/
      Shopee: https://shopee.ph/trust.premiere.ez

  5. Hi po ako din po april 28 2021 nag start din na may lumabas na patak ng dugo diko pa naman perid time april 3 to 6 po ako niregla for month of may wala pa..ngayong may 2 biglang sumakit puson ko sa kanan at pag ihi ko may patak na naman ng dugo…diko po alam ano po ito…maraminf salamat po

    1. Hi, Aiza! Maraming posibleng sanhi ng pagdurugo na walang kinalaman sa regla, kasama na rito ang stress, timbang, diyeta, pagbabago sa antas ng mga hormon, at iba pa. Baka makatulong po sa inyo ang pagbabawas sa stress at paggawa ng libangan na nakakarelaks. May ibang sintomas pa po bang nararanasan? Mabuting makipag-ugnay rin sa OB/GYN o malapit na health center para masuri kung ano sanhi nito at mapayuhan ka kung ano pwedeng lunas, lalo na kung nakakaranas ng iba pang sintomas o nahihirapan kumilos sa araw-araw na gawain.

  6. Asking lng po regarding sa period ko po.
    Nakakaranas po ako ng long days period which is na d namn po ganon nun una..
    Regular period po ako ever since until po nitong feb 22 2021 na nagkaroon ako after na sex intercourse namin magasawa na dapat po ay feb.27 ang ika 28days cycled ko. Tumagal po ito ng 22 days ,then ito pong April 8 nagkaroon po ulit ako hanggan ngayon april 29 2021 sobrNg lakas po at buo buo sya..
    Im 40 yrs old and ligate na po ako. Im a mother of 4 kids..
    Sana mapansin po ninyo concern ko🙏😔

    1. Hi, Guada! Baka po ika’y nakakaranas na ng perimenopause, o ang yugto bago ang mismong menopause. Sa panahon na ito, normal na makaranas ng irregular menstruation, at minsan sobrang lakas o sobrang hina. Dahil ito sa pagbabago sa antas ng mga hormone. Hindi po malubhang kondisyon ang perimenopause at walang kailangan ikabahala, ngunit mas mainam na ikonsulta ito sa Ob/Gyn o malapit na health center lalo na kung nakakaranas ng kakaibang sintomas.

  7. Hi sana mapansin po ninyo. Last sunday April 11 nagsimulang may lumabas na dugo sakin spot lang po akala ko may regla na ako. Pero 17 pa po talaga dapat hinayaan ko lang po di po ako agad naglagay ng napkin kasi mahina naman. Tapas nag hapon at gabi na hindi naman lumalakas at tuluyan ng nawala, kinabukasan ganun na naman poang nangyari hanggang ngayon po April 14 tuwing umaga lang po lumalabas yung patak patak na dugo. Na pag tagal nagiging kulay brown sya sa panty. Ano po kaya ito?

    1. Hi, Yohana! Maraming posibleng sanhi ng pagdurugo na walang kinalaman sa regla, kasama na rito ang stress, timbang, diyeta, pagbabago sa antas ng mga hormon, at iba pa. Baka makatulong po sa inyo ang pagbabawas sa stress at paggawa ng libangan na nakakarelaks. May ibang sintomas pa po bang nararanasan? Mabuting makipag-ugnay rin sa OB/GYN o malapit na health center para masuri kung ano sanhi nito at mapayuhan ka kung ano pwedeng lunas.

      1. Hello. I found out this page and I really need answers and I have so many questions. I hope you could help me. Nakunan kasi ako before, last 2019 of april and i guest mag 3 months na sana yun. Tapos di naman ako na raspa or what kasi sabi nung obgyne na nagpacheck upan namin noon sa maynila, if hindi raw titigil ang pagdurugo ko needed daw po talaga na maraspa ako, pero kung titigil naman daw ang pagdurogo ko kahit hindi na raw ako maraspa but thanks to God tumigil naman and naging okay ako, tapos nahihirapan na kami bumuo ngayon, pero fighting and trying parin kami. But this few months parang may mali po sa pagreregla ko. Starting nung January2021 pakonti konti ang menstration ko pero tumigil siya. Thank January ng katapusan until February nagmens po ulit ako and March is hindi po ako dinatnan. April ng 6-12 nagmens ako pero ganun parin po paunti unti kaya kapag may time na gusto ng asawa ko mag talik kami akala kasi namin tapos na ako niregla kase minsan wala naman dugo ang panty ko, but one time na nagsex kami is dinugo ako madami po ang lumabas kaya nagwoworry kami. Tapos nitong april po ulit ng 18 nagdugo nanaman ako pero ganun padin po paunti unti until ngayon na may 18 may lumalabas na brown na may kasamang light na dugo pero kaunti lang naman po. Ano po kaya ang meron? May sakit na po ba ako? Gusto na sana namin magpacheck up pero di kami makalabas dahil sa lockdown. Sana po mapansin niyo ako. Thank you and goodday. Godbless po.

      2. Hi! Maraming posibleng sanhi ng pagdurugo sa pagtatalik, pero ang karaniwang dulot nito ay priksyon at kiskisan lalo na sa penetrasyon. Baka makatulong sa inyo ang paggamit ng water-based lubricant gaya ng EZ Lubricating Jelly para mabawasan ang priksyon at pagsusugat na nagdudulot ng pagdurugo. Basahin po ito: https://doitright.ph/tl/pagdurugo-pagkatapos-ng-pagtalik/

        Mabibili ang EZ Lubricating Jelly sa pangunahing botika at convenience store. Maaari mo rin ito mabili online!
        Lazada: https://www.lazada.com.ph/shop/trust-philippines-1524467118/
        Shopee: https://shopee.ph/trust.premiere.ez

        Maraming pwedeng magdulot ng mga pagbabago sa regla, at kasama rito ang ilang mga impeksyon, sakit, stress, diyeta, at biglaang pagbabago ng timbang. May ibang sintomas pa bang nararanasan? Mabuting makipag-ugnay sa OB/GYN o malapit na health center para magpasuri kung ano ang sanhi at mapayuhan ka kung ano pwedeng solusyon para dito. Baka makatulong rin ito sa iyo: https://doitright.ph/tl/mga-dapat-malaman-tungkol-sa-iregular-na-siklo-ng-regla/

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