Abnormal Vaginal Bleeding

Menstruation is a natural process that a woman’s body goes through every month. During this time, vaginal bleeding occurs because the body replaces the uterine lining. The menstruation period can last for a few days and can be either heavy or light. This type of vaginal bleeding is normal and should not be a cause for concern.

How to Identify Abnormal Vaginal Bleeding

You can tell if vaginal bleeding is normal or not based on the time of the month when the vaginal bleeding occurs and on how much the bleeding is.

Vaginal bleeding can be considered abnormal for premenopausal women who experience the following:

* Bleeding outside the menstrual period

* More menstrual bleeding than you normally experience

* Prolonged menstruation

* Contracting anemia from the bleeding

* Abnormal bleeding of the genital tract because of uterine tissue problems such as endometrial hyperplasia, endometrial polyps, infection, and others

* Fibroid tumors

* Uterine cancer

* Cancer of the cervix

* Obesity

* Polycystic Ovaries

Pregnant women may experience abnormal vaginal bleeding when the placenta overlaps with the cervix completely or partially or when the placenta separates from the uterine wall. Abnormal bleeding may also occur when the pregnancy is ectopic (in the tubes), when a woman gives birth, or when a miscarriage occurs.

Abnormal bleeding may be considered more serious if it occurs among women in the menopausal stage where she has not menstruated for twelve months in a row. This bleeding may be due to any of the following:

* endometrial hyperplasia

* cervical or endometrial polyps

* endometrial cancer (cancer of the uterus)

* vaginitis

* unopposed estrogen

Evaluation of Abnormal Vaginal Bleeding

Be diligent in keeping a record of your menstrual history, as you will need to provide this information when you consult your doctor for symptoms of abnormal vaginal bleeding.

When getting diagnosed for abnormal vaginal bleeding, the following are some of the conditions that your doctor will check:


Some women may not be aware that they are pregnant. Vaginal bleeding can occur during the early stages of pregnancy.

Bleeding pattern

You may be experiencing abnormal vaginal bleeding if your menstruation occurs at irregular periods; if the bleeding is too much or too little; or if the bleeding occurs over very short or very long durations.


Obese women and those experiencing polycystic ovarian syndrome are those who are prone to ovulation problems that cause abnormal vaginal bleeding. Abnormal vaginal bleeding may occur when a woman’s progesterone levels are very low during the second half of her menstrual cycle and when the woman experiences prolonged and irregular bleeding after not having menstruated for a long time.

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