Vaginal bleeding in women during non-menstrual periods

Abnormal bleeding is bleeding from the genitals other than normal menstruation

Genital bleeding other than normal menstruation is called abnormal bleeding. It can be divided into endometrial and uterine vaginal bleeding, and vaginal and external genitalia bleeding. The causes include sex hormone imbalance, uterine cancer, vaginal and external genitalia injuries, erosion, inflammation and polyps, etc. When there is abnormal bleeding, it is indeed very difficult for a layman to judge where the bleeding is happening, whether it is serious, whether treatment should be received, etc.

Therefore, if you have bleeding other than menstruation, you should see a gynecologist as soon as possible.

In addition, blood diseases such as thrombocytopenic purpura, aplastic anemia, leukemia, iron deficiency anemia, etc. can also cause genital bleeding. In addition to genital bleeding, there will also be systemic symptoms such as fatigue, fever, anemia, etc., so you should undergo a blood test to treat the disease that causes bleeding.

Bleeding in the middle of your menstrual cycle

There may be a small amount of bleeding between menstruation and ovulation, which is due to the temporary decrease in follicular hormone secretion, resulting in withdrawal bleeding (bleeding caused by hormonal changes). There is no need to worry. This type of bleeding is called intermenstrual bleeding. Intermenstrual bleeding is physiological bleeding and there is no need to worry. However, if you find bleeding other than menstruation, it is best to undergo a uterine cancer examination to make sure that you do not have uterine cancer.

There are many reasons for abnormal bleeding.

We must first determine where the abnormal bleeding is coming from. Most abnormal bleeding is uterine bleeding, but there are also some cases of bleeding from the vagina. In this case, it may be caused by vaginitis, especially Trichomonas vaginitis or polyps after a total hysterectomy. Some people mistake anal bleeding for vaginal bleeding and go to the gynecology department for treatment. This may be a symptom of hemorrhoids, intestinal polyps or cancer. If there are no abnormalities after the gynecological examination, you should pay attention to the state of your stool and seek consultation from a proctologist. Uterine bleeding can be divided into qualitative uterine bleeding caused by uterine disease and functional uterine bleeding caused by sex hormone disorders. They are explained as follows:

Organic uterine bleeding

It refers to bleeding caused by uterine lesions. Among the diseases with abnormal bleeding or contact bleeding during sexual intercourse, the most important one is uterine cancer. Because there are usually no symptoms in the early stages, regular check-ups cannot be ignored.

People who have irregular menstruation on a normal day or during menopause can easily mistake abnormal bleeding for a sign of uterine cancer, the most important of which is uterine cancer. Because there are usually no symptoms in the early stages, regular check-ups cannot be ignored.

People who have irregular menstruation on a normal day or during menopause can easily mistake abnormal bleeding from uterine cancer for bleeding caused by sex hormone imbalance.

Moreover, people who have reached menopause may mistake abnormal bleeding for the resumption of menstruation, so this is something you must pay attention to.

In addition, it is also necessary to consider whether it is uterine myoma, polyps, erosion or endometritis.

Functional uterine bleeding

Abnormal functioning of the diencephalon-pituitary gland-ovarian system causes an imbalance in hormone secretion and may also cause bleeding other than menstruation. The normal menstrual cycle is approximately 25-38 days and lasts 3-7 days.

However, there are also cases where the fixed cycle of 25-38 days is deviated, with a small amount of bleeding before menstruation or prolonged menstruation.

In addition, there are cases where the menstrual flow is too heavy and the normal menstrual flow cannot be accommodated, or there is abnormally heavy menstrual flow when going out. This situation that cannot be included in the normal menstrual range is generally called functional uterine bleeding. On the one hand, we need to consider whether it is a hormonal imbalance, and on the other hand, we also need to check whether there is any disease. Especially after menopause, functional uterine bleeding is more common.

If the function of female gonads is likened to climbing a mountain, then adolescence is on the way up, sexual maturity is reaching the top of the mountain, and menopause is on the way down the mountain. During climbing and descending the mountain, the function of the gonads can easily become unstable, such as frequent anovulatory menstruation and uterine bleeding caused by luteal insufficiency.

Most people, after learning that it is functional bleeding caused by menopause, do not receive treatment and wait and see how it develops. However, if you are worried about continuous bleeding or anemia, you can also receive hormone injection treatment.