Vaginal bleeding is a normal part of the menstrual cycle for most women, but sometimes it can signal an underlying condition that needs medical attention. "Whether you're experiencing irregular periods, heavy menstrual bleeding, or spotting at unexpected times, it's important to understand what is normal and what is not," Christine E. Glass, MD, Ob/Gyn at ARC Medical Plaza Specialty.
What is vaginal bleeding?
Vaginal bleeding is the discharge of blood from the vagina. It is most often related to menstruation, or your period. A typical period lasts three to seven days and may include mild cramping and small blood clots.
But bleeding between periods, after menopause, or during pregnancy can sometimes point to another condition, such as infection, hormonal imbalance, or even injury or trauma. "To be safe, you should have any unusual vaginal bleeding checked by your doctor," says Dr. Glass. "They can tell you if there's cause for concern based on your age and your whole health picture."
What is normal?
Some vaginal bleeding, such as your menstrual cycle, is perfectly normal. "However, the definition of normal can vary, including slight spotting between periods, periods during the teenage years or the perimenopausal transition, and light bleeding in newborn girls," says Dr. Glass.
Common causes of bleeding that might be considered normal also include:
- Medication changes
- Ovulation
- Hormonal changes
- Uterine fibroids
- Endometrial polyps
- Bacterial or viral infections of the vagina or uterus
What is not normal?
Any bleeding that is heavy, occurs outside the normal cycle, or is accompanied by other symptoms should be discussed with a doctor or advanced practice clinician (APC).
This might include:
- Bleeding between periods
- Bleeding after menopause
- Heavy or increased bleeding that soaks through pads or tampons quickly
- Prolonged bleeding lasting more than a week
- Severe pain, fatigue, or weakness (this may indicate anemia)
- Any other irregular or concerning symptoms
If vaginal bleeding becomes abnormal or interferes with daily life, don't wait to seek care. "You should see a doctor or APC for any unusual vaginal bleeding to diagnose the cause, rule out serious conditions, and receive appropriate treatment," says Dr. Glass.
Make an appointment today
Dr. Glass is accepting new patients ages 14 and older at ARC Medical Plaza Specialty in Cedar Park. Schedule an appointment with Dr. Glass online, through ARC MyChart, or call ARC Medical Plaza Specialty at 512-260-1581.