Diversity Health Pregnancy

Bleeding outside the menstrual period


Bleeding outside the menstrual period can occur naturally at different stages of the menstrual cycle. It may occur after some gynecological examinations when the method of contraception changes, early in pregnancy, etc. This means that these episodes are not in themselves necessarily signs of pathology.


What is bleeding outside the menstrual period?

Bleeding outside the menstrual period, also known as escape bleeding or spotting, is similar to a small blood loss in the menstrual cycle. Usually the flow is less than during menstruation, it can have a darker shade and last between two to three days (which can vary depending on the woman and the case).

What are the reasons for this?

THE spotting may occur from:

Modification of contraceptive method. In this case, escape bleeding may occur several times until the body becomes accustomed to the new contraceptive.

Take a birth control pill with a hormonal amount that is lower than the woman’s body needs or who has this side effect;
Take the morning after pill;

Increased exposure to stress, which can lead to hormone disruption;

Altered thyroid values, a gland in the neck that produces hormones that are important for the regulation of various organs in the body;

Polycystic ovary syndrome;

Infections caused by parasites, fungi or bacteria. It may also be due to a sexually transmitted disease (chlamydia, blenoragi/gonorrhea, human papillomavirus – HPV, syphilis, etc.);

After some gynecological examinations such as smearing. This is a slightly invasive test for the woman’s body, and it is normal to see a small blood loss the following day or days;

Nidation, which occurs after the fertilization of the egg and its implantation in the uterus and causes nesting bleeding;
Pregnancy at placenta, release of placenta.

It can also be a clinical manifestation of other conditions. For this reason, it is important to seek the advice of a healthcare professional. Before a pregnancy and abnormal bleeding, it is important seek immediate medical attention.

It should be noted that bleeding after intercourse is not normal. In these situations, a specialist must be agreed to perform tests and identify the cause of the bleeding. The causes may be different – from a small wound on the cervix to small lubrication of the woman, a sexually transmitted disease, among others.

When should I go to the doctor?

It is advisable to make an appointment for a medical examination when:

Bleeding occurs without menstruation without explanation;
The escape bleeding is very intense and lasts more than three days;
IT spot it has little flow but lasts for more than three cycles;
Appears after sex;
It appears during menopause.

The diagnosis is made by observing the female reproductive system through tests such as pap smears, pelvic or endovaginal ultrasound or colposcopy.

Once the source is identified, the doctor will prescribe the treatment, which must be performed under the recommendations of the healthcare professional.

The information contained in this article is not intended to in any way replace the guidance provided by a healthcare professional or serve as a recommendation for any treatment.

Therefore, in case of discomfort, we recommend you to visit your treating physician to get the correct diagnosis and treatment.


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