Hi and thanks for the query,
Bleeding outside your periods deserve a careful evaluation. Considering the fact you have had an abnormal smear before, this becomes very compelling. However, the commonest symptom instead in cervical cancer
is usually bleeding after sexual intercourse, however, this is not seen in all cases.
It would first of all be important to know if you are on any birth control method or not. If not, you might need to do a pregnancy test to exclude a miscarriage
As females approach menopause
however, it is not unusual to experience some abnormalities in bleeding patterns.
Its of utmost importance to consult your gynecologist to get first an abdominal and pelvic ultrasound
to ascertain the integrity of the ovaries and the texture of the uterus. Common causes of bleeding such as fibroids must also be excluded. An examination called a hysteroscopy
might be needed at some point in time to visualize the uterus and see if there exists any abnormal growths inside.
Booking an appointment with your gynecologist is my advice as I wish you the best of health.