Irregular Vaginal Bleeding

What is irregular vaginal bleeding?

Irregular or abnormal bleeding develops for several women at some point throughout the course of their lives. It usually occurs in between menstrual periods, in the middle of the cycle. Bleeding is viewed as irregular when it occurs:

• At an unexpected time, such as before the women have hit puberty, following menopause, or when the woman is pregnant.
• During a menstrual period but is significantly lighter or heavier than normal.
• Between menstrual cycles or when a period is not expected.

What causes irregular vaginal bleeding?

Irregular bleeding it not typically an indication of a severe condition and can have several causes. If the bleeding takes place during pregnancy, it should be assessed by the obstetrician immediately as it could be a sign of a more serious medical issue. Irregular or abnormal bleeding can be caused by:

• Ovulation
• Medications such as oral contraception or implants
• An IUD or intrauterine device
• Infection of the cervix, vagina, fallopian tubes, uterus, or ovaries.
• Endometriosis
• Uterine fibroids
• Polycystic ovary syndrome (PCOS)
• Pelvic Inflammatory Disease (PID)

In some instances, tremendous emotional stress and extreme strenuous activity can cause irregular bleeding and can hinder menstrual cycles.

What should I do if I experience irregular bleeding?

Go to the ER immediately, if you experience irregular bleeding which causes you to lose consciousness. If there is severe abdominal or pelvic pain, heavy bleeding which persists for longer than two hours, if lightheadedness, dizziness, or if fainting has occurred, contact the office or visit the gynecologist right away. Monitoring the symptoms closely will be very important. Call the physician if you are pregnant or if pregnancy is suspected. When the bleeding worsens or continues for longer than seven days, if a fever develops, or if a new pain is felt, contact the office. Once the underlying cause for the irregular bleeding has been identified, the gynecologist will develop a treatment regimen.