The uterus is most often indicated as the source. However, it is not certain that the problem is in it. Bleeding may result from dysfunction of other parts of the reproductive system. For example, from vulvar, vaginal, fallopian tubes or ovaries. The reason for the problems may also be the urethra or the anus. The procedure depends on where the blood really comes from, as well as whether the woman is pregnant, during childbearing or after menopause. The treatment will look different in each situation.
Abnormal bleeding, or what?
Vaginal bleeding is considered abnormal any bleeding that occurs outside the expected period and after menopause. Excessive or prolonged bleeding during menstruation is called menstrual bleeding.
Bleeding that is not caused by the monthly cycle is called dysfunctional or abnormal. If the bleeding occurs more or less in the middle of the cycle and is small, it may indicate ovulation.
Where does abnormal vaginal bleeding come from?
Abnormal vaginal bleeding is most often associated with reproductive system problems. However, the reason is not always so obvious. Sometimes the reason lies in other medical problems or medication. Often, bleeding occurs when you start or change your contraceptive pill. The reason may also be an ectopic pregnancy.
If you're post-menopausal, stay alert too! Bleeding after the cessation of menstruation (12 months after the last menstruation) should motivate you to visit a gynecologist. Vaginal bleeding may indicate:
- cervical cancer
- endometrial cancer
- endometrial hyperplasia
- ovarian cancer
- uterine sarcoma
- uterine polyps
- vaginal cancer
Risk factors that can cause abnormal bleeding are: hypothyroidism and hyperthyroidism, polycystic ovary syndrome.
The reason can also be infections - cervicitis, vaginitis, bacterial infection with Chlamydia, gonorrhea.
Vaginal bleeding - rare causes
Genital bleeding rarely indicates ovarian bleeding. Most often, ovarian disease causes peritoneal bleeding. Very rarely vaginal bleeding indicates ovarian cancer.
Ovarian bleeding also rarely passes through the uterus and is seen as vaginal bleeding. However, these causes cannot be excluded either.
Ways to treat vaginal bleeding
In order to eliminate vaginal bleeding, correct diagnosis is necessary. The treatment depends on the causes of the bleeding. That is why it is so important to visit a gynecologist and perform all the tests ordered.