Vaginal Bleeding Causes: Don't Put Off Checking

A new Gallop poll says that almost 30% of women will put off getting testing and treatments when they have a medical complaint! Not only that, but the more serious the condition was, the more the woman is likely to not get it checked. And it's not getting better, a decade ago only 15% of women were putting off seeking medical care. So the number of women procrastinating has increased significantly! For instance: vaginal bleeding is the number one cause of gynecologic problems: both small and large. The bleeding could mean cancer, so irregular bleeding is not a reason to delay getting medical advice. If you are now having vaginal bleeding there is a tendency to think the bleeding is coming from the uterus itself, and most often you will be right. But there are many other causes of bleeding that you may not be considering. So when you see vaginal bleeding are you bleeding from the vaginal walls, the cervix, the rectum, from your bladder or from the vulvar area. All these types of bleeding are typically distinct, but they may not be. Although women are concerned with costly testing, often the testing can be performed in a single office visit.


  1. Hi, I would like some advice on whether you think I need to see a doctor. For the past 13 months I have been having bleeding mid-cycle. I understand that this can be completely normal with ovulation. It is light enough to only use a pantyliner. What I'm concerned about is that it has lasted anywhere between 4-11 days each month (starting around day 13-14). I mentioned it to my Gyno NP in October, and she was not concerned, so I have not worried. I have noticed that it is worse with exercise, and I bled after running yesterday (day 23) and today. I also notice clear/white tissue clumps coming out. Could this just be a "new normal" for me since it has been decently consistent through the year? Or should I try to get some tests, and which ones? I wonder if it might be a hormone issue as well. I'm 25, never been sexually active, no birth control. Thanks for the help!

  2. Women who have spotting or even bleeding during midcycle for a day can attribute it to ovulatory bleeding. If the bleeding has a bit of pain (or even pain without the bleeding) that pain is known as Mittelschmerz, old German term that has "middle pain" is a medical term for "ovulation pain". Ovulation predictor kits, mostly used for timing ovulation for those seeking pregnancy, can help determine if the hormone cycle is mimicking the menstrual bleeding that you are seeing or if the bleeding is remote from ovulation. Bleeding or spotting that occurs for more than a day, and in the case of the reader who states her bleeding lasts 4-11 days, that is mid-cycle bleeding, or metorrhagia: bleeding that is regularly timed. Metorrhagia is a condition to see your gynecologist.

  3. I would like some advice on how to deal with cervical stenosis. I am 35 years old. For the past 2 years my periods have started with spotting and painful cramps that last about 4 days before the flow starts. I was finally diagnosed with cervical stenosis. I have never had a procedure done on my cervix, but I have had 4 c-sections because my cervix never dilated. My doctor has recommended ablation because he feels that cervical dilation would be ineffective. I feel that ablation might cause problems several years from now if my lining were to regenerate and my cervix closed completely. He has also recommended very low dose birth control pills to keep my lining thin. Would I have to take these until menopause?

  4. Cervical stenosis has many causes, although precancerous treatments like LEEPs are among the most common reasons women have this. Other gynecologic treatments can cause this as well as infections. For women who have had several operative deliveries like c-sections it may be the cause. Failing to dilate in labor is not always due to cervical stenosis, they are two different condition. Many women have no symptoms at all from cervical stenoisis and require no treatment. Others may have painful menstrual periods, and treatments for the lining of the uterus such as thinning with DepoProvera, Nexplanon, oral contraceptives, Mirena IUD, or endometrial ablation can all be successful strategies. First one has to have a successful treatment, be fore planning whether this treatment will have to continue until menopause. For women done having children, we recommend Same Day Office Endometrial Ablation with NovaSure at Women's Health Practice: 217-356-3736.


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