General Practice 2022

Exhaust bleeding: what it could be (and when to go to médic)

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Exhaust bleeding: what it could be (and when to go to médic)
Exhaust bleeding: what it could be (and when to go to médic)

Bleeding, or spotting, is that which happens outside of the menstrual period and is usually a small bleeding that occurs between menstrual cycles and lasts about 2 days.

This type of bleeding outside the menstrual period is considered normal when it occurs after gynecological exams or contraceptive change, without treatment and not indicating any he alth problem.

However, bleeding outside the menstrual period can also be a sign of pregnancy when it appears 2 to 3 days after unprotected intimate contact, for example, or it can be a symptom of pre-menopause when it happens in women over 40 years. Learn what bleeding in pregnancy means.

Main causes

The main causes of breakthrough bleeding are:

  • Stress, as hormonal disruptions can occur in these situations, however it can be solved through exercise and aromatherapy, for example;
  • Changing contraceptive method, being considered a normal cause of bleeding outside the menstrual period and therefore it is recommended to wait until the body gets used to it. If the bleeding continues, it is recommended to go to the gynecologist to be evaluated if the cause of the bleeding is in fact the change in contraceptive method;
  • Uterine polyps, which are more common in menopausal women and correspond to the excessive growth of cells in the inner wall of the uterus and do not always need treatment, only when there is a suspicion of malignancy. Learn more about uterine polyps;
  • Polycystic ovary syndrome, which is characterized by the presence of several cysts in the ovary due to a hormonal imbalance and whose treatment must be done according to the orientation of the gynecologist, being usually recommended the use of contraceptives. Check out 7 common questions about polycystic ovary syndrome;
  • Thyroid problems, in which there is dysregulation in the production of a series of hormones, which can result in bleeding outside the menstrual period. To relieve symptoms related to thyroid problems, it is recommended to increase the consumption of foods with iodine, zinc and selenium to regulate the thyroid;
  • Infections, which can be caused by parasites, fungi or bacteria, and can even be a Sexually Transmitted Disease, in which cases bleeding is also observed after sexual intercourse. Depending on the type of infection, the doctor may indicate the use of medication to fight the infection;
  • After gynecological exams, since some procedures can be invasive, such as Pap smears, for example, it is completely normal to have small bleeding, and no treatment is necessary.

In addition, other situations can cause bleeding outside the menstrual period or excessive spotting, such as ectopic pregnancy and uterine cancer, and it is necessary to follow all medical recommendations.

Not to be confused with bleeding outside your period, know when your period should come back:

Bleeding after intercourse

Bleeding after sexual intercourse is not normal, only when it is the first intercourse, when the hymen breaks. If bleeding occurs after sexual intercourse, it is important to go to the gynecologist so that tests can be carried out and the cause of the bleeding can be identified. See which exams are usually requested by the gynecologist.

Bleeding may indicate sexually transmitted diseases, trauma during intercourse, presence of wounds on the cervix or occur due to insufficient lubrication of the vagina, for example. In addition, if a woman has ovarian cancer or cysts, endometriosis, or bacterial or fungal infections, bleeding may occur after intercourse. Learn more about bleeding after intercourse.

Bleeding after sexual intercourse can be evaluated according to the amount of blood and color, with bright red indicative of infections or lack of lubrication, and brown indicative of breakthrough bleeding, which lasts about of 2 days. Know when dark bleeding is a warning sign.

When to go to the doctor

It is advisable to go to the gynecologist when:

  • Bleeding occurs outside the menstrual period;
  • Excessive spotting occurs for more than 3 days;
  • Bleeding, even a little, lasts more than 3 cycles;
  • Excessive bleeding occurs after intimate contact;
  • Vaginal bleeding occurs during menopause.

In these cases, the doctor may perform diagnostic tests, such as a Pap smear, ultrasound or colposcopy to evaluate the woman's reproductive system and identify if there is a problem causing the bleeding, initiating appropriate treatment, if necessary. Also learn how to treat menstrual bleeding.

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