Vaginal bleeding between periods
Alternative names:
bleeding between periods; periods, menstrual - bleeding
between; intermenstrual bleeding; spotting
Home care:
Bed rest is recommended if bleeding is heavy.
The number of pads or tampons used should be recorded (so
that the amount of bleeding can be determined). Change tampons
regularly, at least twice a day.
Because aspirin may prolong bleeding, it should be avoided
if possible.
Call your health care provider if:
- there is any unexplained bleeding between periods.
- there is any bleeding after menopause.
- abnormal bleeding is accompanied by other symptoms.
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:
- time pattern
- When did this bleeding between periods begin?
- Does it occur consistently, such as every month?
- When (during the course of a menstrual cycle) does
this bleeding begin?
- How long does the in-between bleeding last?
- quality
- Is the bleeding heavy?
- How many tampons or pads are required?
- Do cramps accompany the bleeding?
- aggravating factors
- What makes it worse?
- Does increased physical
activity make the bleeding worse?
- Is increased stress
associated with the bleeding?
- relieving factors
- Does anything relieve or prevent it?
- other symptoms
- other important information
- Are you pregnant?
- Have you had a miscarriage
or abortion?
- Have you had a D
& C?
- What medications are being taken?
- Are tampons used? What kind? What size?
- At what age did menstruation start?
- Have there been normal periods without bleeding between
in the past?
- Is sexual activity occurring?
- Is birth control
being used? What kind?
- Have there been any injuries?
- Have there been any medical or surgical treatments?
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:
After seeing your health care provider:
You may want to add a diagnosis related to bleeding between
periods to your personal medical record.
Update Date: 02/09/00
Updated by: J. Gordon Lambert, MD, Associate Medical Director,
Utah Health Informatics and adam.com
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