Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
147 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction
Article Home Women's Health Intermenstrual bleeding

Intermenstrual bleeding

It is also known as metrorrhagia.


It refers to the vaginal bleeding among premenopausal women that is not synchronized with their menstrual period. It is often referred to as spotting. It is the bleeding between the periods.


Make sure the bleeding is coming from vagina and not from rectum or in the urine. Inserting a tampon into the vagina will confirm the vagina, cervix or uterus as the source of bleeding.


Causes

Symptoms

  • Slight to heavy bleeding between regular menstrual periods.
  • Cramping abdominal pain with the bleeding.

Diagnosis

  • Complete medical history.
  • Menstrual history.
  • Pelvic examination.
  • Blood tests for thyroid and ovarian functions.
  • Ultrasound scan.
  • Sonohysterogram.


Keep track of the number of pads or tampons used over time so that the amount of bleeding can be determined. Uterine blood loss can be estimated by keeping track of how frequently a pad or tampon is soaked and how often one needs to be changed.

Treatment

It depends on the cause.


Treatment includes drugs to replace the hormones, antibiotics to cure infection. If the bleeding is due to intrauterine devices (IUD), the device may need to be removed. Polyps and other types of growths are treated with surgery. Cancer may be treated with combination of chemotherapy, radiation, or surgery. Women with bleeding due to abortions or tubal pregnancy need immediate medical treatment because both can cause serious complications if not treated. A procedure called Dilatation and curettage (D and C) might be performed to empty the uterus of any tissue remaining after miscarriage.

Prevention

  • Maintain healthy weight. Women who are overweight or underweight have more problems with abnormal bleeding.
  • If you are using birth control pills, be sure to take them as directed and at the same time every day.
  • If you are taking hormone replacement therapy, take your pills as directed and at the same time every month.
  • Learn to practice relaxation exercises to reduce and cope the stress.
  • Bed rest may be recommended if the bleeding is heavy.
  • Do not take aspirin while menstruating. Aspirin cause bleeding to occur longer and heavier.

When to seek medical professional help

  • If abnormal bleeding returns.
  • Bleeding increases or becomes severe enough to cause weakness or light headedness.
  • Fever or pain in the lower abdomen develops.
  • Symptoms do not improve within 2 months.
  • Symptoms become more severe or more frequent.

What to do if you have bleeding between periods

  • Bed rest recommended if bleeding is heavy.
  • Avoid aspirin when bleeding occurs between periods.
  • Record how often you change pads or tampons.

Related questions you may be interested in

doctor1 MD

Ho doctor, My last period was on 3/5/2015 and on 29/5/2015 i had spotting with bad smelling brownish blood. After 2days of spotting i got my...

doctor1 MD

Hello Doctor, I have also dropped query regarding this previously regarding facing irregular bleeding after my periodic cycle. This is 4th time...

doctor1 MD

Hi Doctor, I am 39 yrs old and I started having this mid cycle bleeding since last month. Last month it happened at my 12th cycle day and was very...

doctor1 MD

I am 48 and am having bleeding between periods . I had severe low abdominal pain at ovulation time that took me to my knees. After that I began...

doctor1 MD

Hi, I am 38 years old and have 2 children 11 and 9 yrs old. I have been regular in my periods (cycle 28 days) except for 2 occasions when I had...

doctor1 MD

I had unprotected sex the day before my period and came on as normal the following morning. My next period is not due for at least a week and a...

doctor1 MD

Pink, brown, reddish discharge 2 times in 1 month and they both came at separate times. I also just started my first period about 4 months ago and...

doctor1 MD

I had my period on October 11, for 5 days my normal, then on October 23, I started to have light spotting then dark red with little blood clots,...

doctor1 MD

my LMP was aug 30-sept 2. then i have bleeding again sep 12-14 (maybe due to nordette that i took) . My partner and i had sex last sep 17 and 25th...

doctor1 MD

Hello i had my period and it lasted for 5-6 days. I was off for 3 days and then started bleeding again but lightly bleeding and it lasted 1-2 days...