Bleeding that is not menstruation: what can it be?

Expert answer:

Menstruation is bleeding that occurs within the menstrual cycle from 24 to 35 days and usually lasts from 2 to 7 days. Out of this standard, the vaginal bleeding that is not menstruation may have various causes, between them:

  • Use of hormonal contraceptives;
  • Transition to menopause;
  • Use of hormone replacement therapy;
  • Polycystic ovarian syndrome;
  • Polyp in the uterus;
  • Uterine myoma;
  • Cancer in the womb;
  • Extreme physical activity;
  • Pelvic inflammatory disease;
  • Endocrinological disorders: hypo or hyperthyroidism, Cushing's syndrome, etc .;
  • Disorders of the pituitary and hypothalamus;
  • Ovary cyst rupture;
  • Vaginal ulcer.

THE investigation of the specific cause of bleeding for each woman can be made by the gynecologist, family doctor or general practitioner taking into account the personal history of drug use, duration of bleeding, clinical symptoms and physical examination. It is important for the woman to closely observe the pattern of this bleeding that is not menstruation to explain with more data during the medical appointment.