Vaginal bleeding between periodsDefinition Intermenstrual bleeding is uterine bleeding that occurs between menstrual periods. Considerations Normal menstrual flow lasts about 4 days, produces a total blood loss of 30 to 80 ml (about 2 to 8 tablespoons), and occurs normally every 28 days (plus or minus 7 days). Vaginal bleeding may be something to worry about for women over age 50 (postmenopausal). The risk of malignancy increases with age. Make sure that bleeding is coming from the vagina and is not from the rectum or in the urine. Inserting a tampon into the vagina will confirm the vagina, cervix, or uterus as the source of bleeding. A careful exam by your health care provider is frequently the best way to sort out the source of the bleeding. This exam can be accomplished even while you are bleeding. Do not delay getting an exam just because you are currently bleeding. Common Causes
Home Care Bed rest is recommended if bleeding is heavy. The number of pads or tampons used over time should be recorded (so that the amount of bleeding can be determined). Because aspirin may prolong bleeding, it should be avoided if possible. Call your health care provider if
What to expect at your health care provider's office The medical history will be obtained and a physical examination performed. Medical history questions documenting vaginal bleeding between periods detail may include:
A thorough menstrual history will be obtained and a physical examination performed with an emphasis on the pelvic area. Uterine blood loss can be estimated if the patient knows how many sanitary napkins or tampons were used during a period. Diagnostic tests that may be performed include:
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