Bleeding Between Periods
Bleeding between periods is known as inter-menstrual bleeding. It is quite common, and if you experience just a single episode you need not be overly concerned.
Possible causes
Common causes are medications containing oral hormones (estrogen, progestogen) such as contraceptive agents and other oral hormonal therapies.
Ectropion, endometriosis, and polycystic ovarian syndrome (PCOS) can also be associated with inter-menstrual bleeding.
Persistent inter-menstrual bleeding may be caused by genital tract infections, polyps within the uterus or cervix, and rarely cancer of the cervix.
What to do
If you have persistent intermenstrual bleeding, you should see your GP. First-step investigations may include an examination, pap smear, or vaginal ultrasound scan.
We can help
If you are experiencing bleeding between periods and would like to talk to us about how we can help, please feel free to contact us. You can also request an appointment online.
Related Conditions
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Cervical cancer forms in a woman’s cervix and is caused by the human papillomavirus (HPV), which also causes genital warts.
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An ectropion is when the inside of the cervix becomes everted on to the outside of the cervix, and can bleed with contact.
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An infection – the multiplication of microorganisms not normally present within the body – can cause abnormal bleeding.
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Symptoms vary, and can include irregular or absent periods, excess hair, weight gain or difficulty falling pregnant.
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Prolapse occurs when the walls of the vagina lose support. This can cause the organs and spaces around the vagina to bulge downwards.
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A speculum is placed in the vagina, and the cervix visualised using a colposcope. This provides a magnified view of the cervix so that a targeted biopsy can be taken.
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Ectropion is common, and treatment is generally not required.
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An infection – the multiplication of microorganisms not normally present within the body – can cause abnormal bleeding.
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A common procedure, placing a thin camera through the cervix to evaluate the inside of the uterus. This may be as an investigation or a treatment.
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A small plastic contraceptive device is placed inside the uterus with strings extending out through the cervix. Can be used to treat adenomyosis and endometriosis.
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Controlled cauterisation of the endometrium under general anaesthetic. Used as a treatment for heavy menstrual bleeding as an alternative to hysterectomy.