Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. * As per my clinical experience, the condition of inter menstrual vaginal bleeding indicates underlying hormonal imbalance which can be systemic issue or uterine. I recommend a thorough gynec check up with ultrasound of the pelvis for best evaluation and further management. Hope I have answered your query. Let me know if I can assist you further.