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.
What is Abnormal Vaginal Bleeding?
The two questions you should ask in order to distinguish normal from abnormal vaginal bleeding are the following: 1) When do you experience vaginal bleeding; and 2) How much vaginal bleeding do you have?
The following are some symptoms of abnormal vaginal bleeding for women in the premenopause stage:
* Bleeding before or after your normal menstrual cycle
* Immoderate menstrual bleeding
* Abnormally long periods of menstruation
* Bleeding that results in anemia
* Experiencing abnormalities with the uterine tissue that cause bleeding in the genital tract. These include endometrial hyperplasia, infection, endometrial prolyps, and others.
* Fibromyoma
* Cancer of the uterus
* Cervical cancer
* Obesity
* Polycystic ovaries
Among premenopausal women, those that are pregnant are prone to abnormal vaginal bleeding, especially if a miscarriage occurs, the pregnancy is ectopic (in the tubes), or the woman has just given birth. Abnormal vaginal bleeding can also be experienced if the placenta is torn from the uterine wall or if it overlies the cervix.
Women who have not had menstruation for at least a year should be more watchful of abnormal vaginal bleeding symptoms, as the bleeding may be caused by serious medical conditions such as the following:
* endometrial hyperplasia
* cervical or endometrial polyps
* endometrial cancer (cancer of the uterus)
* vaginitis
* unopposed estrogen
Diagnosing Abnormal Vaginal Bleeding
Ensure that you are promptly checked by your doctor if you think you’re experiencing abnormal vaginal bleeding. However, you should be able to provide sufficient information about your menstrual history in order to get an accurate diagnosis.
To evaluate your abnormal vaginal bleeding symptoms, your doctor will look into the following:
Pregnancy
Women don’t usually consider that they’re pregnant when they still experience vaginal bleeding, as it is not unusual for vaginal bleeding to occur early on in a 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.
Ovulation
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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