When To See The Doctor
You should see your doctor if you have unusual bleeding. This may include:
- Bleeding after sex, more than once
- Spotting or bleeding anytime in the menstrual cycle other than during your period
- Bleeding after menopause
Your doctor may start by checking for problems that are most common in your age group. Some of these are not serious and are easy to treat. Your doctor may prescribe hormonal birth control, such as a hormonal IUD, the pill, shot, or vaginal ring, to help control your menstrual cycle. Hormonal birth control is sometimes prescribed by doctors for womens health concerns other than preventing pregnancy. Other types of bleeding, such as any vaginal bleeding after menopause, can be more serious.
You Have Undiagnosed Cervical Cancer
Abnormal vaginal bleedingsuch as bleeding after vaginal sex or bleeding and spotting between periodscan be a sign of cervical cancer.
Because cervical abnormalities can be detected through Pap and HPV tests, make sure you stay on top of those, and always tell your doctor about your family history of female cancers.
What Conditions Might Cause Someone To Bleed Between Periods
Bleeding between menstrual cycles can be due to structural issues within the uterus or womb, including endometrial polyps or fibroids. Polyps are small abnormal tissue growths that can occur in a number of places, including the cervix and uterus. Most polyps are benign, or noncancerous.
Spotting can also be due to sexually transmitted infections that typically infect the cervix, such as gonorrhea or chlamydia. Learn the symptoms of sexually transmitted infections and contact your doctor if you suspect you have one.
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Why Spotting Between Periods Happens And When To Be Concerned
Bleeding or spotting between regular monthly periods can be alarming. When this happens, you may see just a spot or two of blood on your underwear or toilet tissue, or you may be bleeding as if youve started your period.
I often get questions about spotting between periods from my patients. While most of the time spotting isnt anything to worry about, it can point to a more serious issue that might need treatment.
How Might Your Doctor Diagnose A Long Period
Your doctor will ask how often you get your period, how many days it lasts, and do you have bleeding in between your period or after sex, says Jodie Horton, MD, an ob-gyn in Oakton, Virginia, and chief wellness advisor for Love Wellness. Other important clues to determine what is causing your abnormal uterine bleeding is how heavy your periods are, what medications youre taking, if youve been tested for sexually transmitted infections and are up to date on your Pap smears. So you’ll want to know that info before your visit.
Your doctor may perform a pelvic exam to evaluate the cervix and the size and regularity of the uterus, as well as a pelvic ultrasound or hysteroscopy to see inside your cervix, uterus, fallopian tubes, and ovaries for any abnormalities.
It sounds scary, but most causes of prolonged menstrual bleeding aren’t a big deal and can be fixed or improved with the help of your doctor, Dr. Toth notes. And you deserve to have a normal period that doesn’t totally suck.
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Your Period Often Takes You By Complete Surprise
An unexpected period is a classic annoying menstrual cycle problem. Pour one out for all the times you thought youd have a period-free vacation, only for it to show up right as you hit the beach. Fun! Irregular periods could be due to a number of different things that are in your control, like stress and travel, Dr. Streicher says. But they can also happen because of various health conditions.
Take thyroid issues, for example. Hypothyroidism, which is when your thyroid gland in your neck doesnt produce enough hormones, can lead to an irregular period, according to the Mayo Clinic. It can also cause myriad other symptoms, like heavier than usual periods, fatigue, constipation, dry skin, weight gain, impaired memory, and more. Treatment typically involves taking medication that mimics the thyroid hormone.
On the flip side, hyperthyroidism, which is when your thyroid gland is overactive, can cause light or infrequent menstruation, along with issues like sudden weight loss, rapid heart rate, increased appetite, and more frequent bowel movements, according to the Mayo Clinic.
PCOS and uterine polyps, which we discussed earlier, could be behind irregular bleeding, too.
Your Body’s Gearing Up For Menopause
Oh yes, simply getting older can mess with your period. Menopause, which technically means you’ve gone 12 or more months without a period, hits women around age 50. However, your body starts the natural decline in hormones that leads up to menopause as early as 35, says Christiane Northrup, MD, author of Womens Bodies, Womens Wisdom.
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When this happens, you may notice your periods getting longer or shorter, your cycle becoming more random, and other slight changes in your menstruation.
If you’ve ruled out everything else, and you’re in your mid- to late-30s, your prolonged periods might simply be due to the natural process of aging. There is, however, such a thing as early menopause, which can affect women even in their twenties. So talk to your doctor if this runs in your family or if you’re showing other signs of menopause, like a low sex drive or insomnia.
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Period Problem: Irregular Periods
Your periods are considered irregular if your menstrual cycle is shorter or longer than average. This means that the time from the first day of your last period up to the start of your next period is less than 24 days or more than 38 days.
Your periods can also be irregular if your cycle length varies by more than 20 days from month to month.10 An example would be your cycle jumping from a normal 25-day cycle to a 46-day cycle the next month and then back to a 25-day cycle the following month.
Irregular periods are normal for teenage girls and perimenopausal women. Teen girls periods may be irregular for the first few years before becoming more regular. During the transition to menopause, called perimenopause, menstrual cycles may become more irregular over time.
Causes of irregular periods include:
What Are The Symptoms Of Menorrhagia
If you have to change your pad or tampon every 1 to 2 hours because it is soaked, or bleed longer than 7 days, see your doctor. Spotting or bleeding between periods is also a sign of a problem.
The symptoms of menorrhagia may look like other conditions or medical problems. Always consult your healthcare provider for a diagnosis.
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When Should You See A Doctor About Abnormal Bleeding
“You need to see a doctor if you dont have a monthly period or have more than one period per month. Feeling lightheaded or dizzy when you stand is also concerning,” says Dr. Schrop. She also urges women to see a doctor if they experience bleeding after going through menopause, or if they experience bleeding while pregnant.
Finally, Dr. Schrop says to see a gynecologist if you are experiencing any of the following:
- Bleeding that requires more than one tampon or sanitary pad in an hour, for several hours in a row
- Bleeding or spotting between periods
- Bleeding after having sex
- Nipple discharge
Forget Normal Whats A Regular Period
When it comes to menstrual cycles, theres no single definition of normal. You can even have two periods in a single month! Instead of considering specific numbers to be normal , think of ranges instead.
Whats normal for one persons period might not be for another and that can change throughout your lifetime. The average menstrual cycle is about 28 days, but yours is considered regular if its between 21 and 45 days long.
Day 1 of your period is the first day you bleed your next cycle starts the next time you bleed. And, if your period isnt aligned with the moon and predictable down to the day and hour, youre not the only one.
Between 5 and 35 percent of periods are irregular lets call them free-spirited and vary in length and duration from month to month.
Bleeding for 5 days is the average, but anything from 2 to 8 days is within the normal range.
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So my expected calculated period was supposed to be 7/13 my 30 day cycle period from date of last month would have been 7/15.no period start. 7/18 spotting mauve pink when I wiped two days then stopped. No period no bleeding no cramps.no symptoms. Negative pregnancy test on 7/20 and 7/21.Unprotected sex with my husband 7/22. 41. What you do every day? a. does b. do c. did d. doing e. done. 42. This problem tomorrow. a. will be discussed b. have been discussed c. is discussing d. will discuss e. had discussed.
You Just Started Stopped Or Switched Birth Control
Though men cant seem to handle the side effects as well as women can, birth control is still such a great invention. Especially for those of us who dont want children , dealing with the side effects is well worth it if it means preventing pregnancy. One of those side effects is spotting.
If you just got an IUD, spotting is a normal symptom that can last several months. Thankfully, many IUD users eventually have lighter periods or no periods at all. Similarly, starting, stopping, or missing a dose of an oral contraceptive can cause pink or brown spotting. This is due to your estrogen, which keeps the lining of your uterus in place. Doing anything that alters your estrogen levels can cause spotting.
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I have gotten my period regularly every month and for a solid 7 days each. And I always get bad Usually when there’s heavyperiod-like bleeding during pregnancy– it’s from something going long story short yes I used to be a lonely weirdo and I bought a sex doll when I was drunk then one dayI.
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periodi really dont know what it is sometimes ill get cramps that feel like my period but theni never start Hi eveyone this month for me been really odd I started my peroid for 2daysthen it stoppedthen it i am experiencing brown discharge instead of my usual heavy bleeding this month. normally.
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Your Period Causes Days Of Pain So Bad Its Hard To Leave Your Bed
Unbearable pain also falls into the category of menstrual cycle problems that absolutely warrant a chat with your medical provider. Dr. Streichers rule of thumb is that if youre experiencing even an iota of period pain beyond what youre fine with, its too much.
The first step in dealing with period pain is typically to take nonsteroidal anti-inflammatory drugs, since they block hormone-like chemicals known as prostaglandins that cause uterine cramping. If that knocks out your cramps, awesome. If youre still curled up in the fetal position after a few hours, thats a sign that talking to a doctor makes sense for you, Dr. Streicher says. Youre likely dealing with severe dysmenorrhea , and doctors can help. Dysmenorrhea is the most commonly reported period problem, with more than half of women who get their periods experiencing it for one to two days each month, according to the American College of Obstetricians and Gynecologists . There are two types of dysmenorrhea: primary dysmenorrhea and secondary dysmenorrhea. Primary dysmenorrhea is pain thats due to natural pain-causing chemicals associated with your period. Secondary dysmenorrhea is the result of a disorder in the reproductive system.
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Your Period Just Stopped
You just put the unused tampons from your purse back into the little black box on your counter but bam! spots of blood in your favorite panties. WTH, right? Well, lady, hate to break it to you but this is one of the most common spotting times. The reason behind after-period spotting is usually that your uterus didnt finish flushing out its unused inner lining. Unless your period starts again soon after it ends, you dont have anything to worry about.
What Is Abnormal Menstruation
Most women have menstrual periods that last four to seven days. A woman’s period usually occurs every 28 days, but normal menstrual cycles can range from 21 days to 35 days.
Examples of menstrual problems include:
- Periods that occur less than 21 days or more than 35 days apart
- Missing three or more periods in a row
- Menstrual flow that is much heavier or lighter than usual
- Periods that last longer than seven days
- Periods that are accompanied by pain, cramping, nausea or vomiting
- Bleeding or spotting that happens between periods, after menopause or following sex
Examples of abnormal menstruation include the following:
- Amenorrhea is a condition in which a womans periods have stopped completely. The absence of a period for 90 days or more is considered abnormal unless a woman is pregnant, breastfeeding, or going through menopause . Young women who haven’t started menstruating by age 15 or 16 or within three years after their breasts begin to develop are also considered to have amenorrhea.
- Oligomenorrhea refers to periods that occur infrequently.
- Dysmenorrhea refers to painful periods and severe menstrual cramps. Some discomfort during the cycle is normal for most women.
- Abnormal uterine bleeding may apply to a variety of menstrual irregularities, including: a heavier menstrual flow a period that lasts longer than seven days or bleeding or spotting between periods, after sex, or after menopause.
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What Is Bleeding Between Periods
After puberty and before menopause, women experience normal vaginal bleeding each month during their menstrual period. Normal vaginal bleeding, or a period, varies widely between women and can be different for you at different stages of your life. Generally, all women experience a menstrual period around once a month, approximately every 21 to 35 days, and it can last anywhere between 1 and 7 days.
Bleeding between periods is any vaginal bleeding that occurs outside of a normal period. Bleeding between periods may be similar to a normal period, may be heavier with a larger blood loss, or may be a very light blood loss . Bleeding between periods may be once off or may last for a number of days.
Changes In Your Periods
Your periods can change for example, they may last longer or get lighter. This does not necessarily mean there’s a problem, but it does need to be investigated.
You can see your GP, or visit your nearest women’s clinic or contraceptive clinic.
Bleeding between periods, bleeding after having sex, or bleeding after the menopause needs to be checked by a doctor.
It might be caused by an infection, abnormalities in the neck of the womb or, in rare cases, it could be cancer.
You could be pregnant if you miss a period and you’ve had sex. See your GP if you’ve taken a pregnancy test and the result is negative and you’ve missed 3 consecutive periods.
They will investigate the cause and recommend any necessary treatment.
Read more about stopped or missed periods.
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How Is Abnormal Menstruation Treated
The treatment of abnormal menstruation depends on the underlying cause:
There are other procedural options which can help heavy menstrual bleeding. A five-year contraceptive intrauterine device , called Mirena®, has been approved to help lessen bleeding, and can be as effective as surgical procedures such as endometrial ablation. This is inserted in the doctors office with minimal discomfort, and also offers contraception. Endometrial ablation is another option. It uses heat or electrocautery to destroy the lining of the uterus. It is usually only used when other therapies have been tried and failed. This is because scars from the procedure can make monitoring the uterus more difficult if bleeding persists in the future.
Heavy Period For 2 Days And Then Nothing Advice Please
My last NORMAL period was 12/2/12, my cycles range from 31-33 days. I had sex with bf throughout the month of December all protected . Early on the morning of the 23rd we had sex. Before he put the condom on he entered me several times. He put the condom on afterwards and we resumed. For about the past 2-3 days I have had to use the bathroom more, am sleeping more and my breasts are sore/achy and I am bloated.
All of this stopped when my period came on 1/4/13 and its been of a HEAVY flow for the past 2 days. Now today on day 3 I have all but stopped bleeding. The tampon is only half bloody instead of soaked as the previous 2 days. Also, my breasts have started becoming sore again. I do know about Implantation Bleeding as I had it with my son but it was light and only for 1/2 of a day. Should I take a pregnancy test or no? Wait it out? Advice please?
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