My Period Ended but I Have Blood Again
If you experience spotting after your catamenia ends, you lot may call up your monthly period has come once more (besides soon!) Or you may wonder if your period even ended.
But in that location is a difference between your monthly menstruum and other vaginal bleeding. If spotting or quantum bleeding occurs, there could be a number of possible explanations, including contraceptives, external or anatomical causes, common infections, and health weather condition.
Some of these are normal, and have no cause for concern and others require consulting a medical professional.
Read on to learn more than about what can cause bleeding and what it could mean for your health...
What Is Spotting?
In general, spotting is whatever kind of light haemorrhage that would not require the use of a catamenia product and is not associated with your period. Nosotros'll go through some of the unlike characteristics of menstrual bleeding versus spotting.
Here'southward an overview to help y'all tell the departure:
How Does Spotting Chronicle to Your Menstrual Cycle?
Spotting is any kind of light bleeding that would non require the utilise of a period product and is non associated with your period. In that location tin exist many causes of spotting between periods: Some totally prophylactic and normal, and some that are concerning and may be a sign that something more serious is going on with your health. Spotting doesn't usually follow a design.
While most spotting can exist unpredictable, lite bleeding that is caused by events in the menstrual cycle, similar ovulation—which occurs when your ovary releases a follicle or oocyte (immature egg) each month—may occur regularly.
How Do Yous Know If You're Spotting?
Spotting blood tin can have a different hue than catamenia blood. It might be variations of brown, and it can also have a different texture.
Finally, almost spotting is light: A panty liner or leakproof underwear is usually sufficient to handle the bleeding caused by spotting.
If you experience persistent spotting or heavy haemorrhage outside a period that requires more than than a panty liner, you should consult a medical professional person.
What Could Cause Spotting Later Your Period?
The truth is there are many possible explanations for haemorrhage betwixt periods. Some of these you'll be able to rule out on your own (east.chiliad., if you're non on medication or know you're not pregnant). Just others will require a doctor's visit to test for and rule out.
This listing is not exhaustive, but these are the about common causes of bleeding betwixt periods.
Birth Control Causes
- Birth control pills: According to Medical News Today , irregular bleeding betwixt periods tin can occur in the showtime six months of taking a new nascence control pill, or switching between nascency control pills. Doctors sometimes refer to this equally breakthrough bleeding. Usually light red or reddish-dark-brown, the blood tends to look like to that at the start or end of a period.
- Morning-after pill: According to the Mayo Dispensary , the morning-later pill can crusade bleeding between periods or heavier menstrual bleeding. Spotting or low-cal bleeding can occur up to ane month after taking emergency contraception to prevent pregnancy, although nigh people who take the morning-after pill do not experience bleeding betwixt periods.
- Intrauterine device (IUD): Some women with an IUD for birth control may too feel non-menses haemorrhage. According to the American Higher of Obstetricians and Gynecologists , "Quantum bleeding happens more often with depression-dose and ultra-low-dose birth control pills, the implant, and hormonal IUDs."
Other Causes
- Trauma or medical examination: If you've experienced rough sex activity or a pelvic exam including a speculum, yous may as well experience vaginal bleeding.
- Medications: Certain medications may cause aberrant vaginal haemorrhage. Your pharmacist should advise you lot of whatever side effects of medication.
- Stress: Increased stress may trigger many reactions, including breakthrough or abnormal uterine bleeding.
Mutual Infections
The post-obit infections may crusade abnormal vaginal bleeding betwixt periods. It's worth noting that almost infections are treatable. Yet, it's important to meet a doctor equally infections tin go more serious if symptoms are ignored.
- Sexually transmitted infection (STI) , including chlamydia, gonorrhea, and trichomoniasis
- Pelvic inflammatory illness (PID) , an ascending infection of the upper female person reproductive system
Pregnancy-Related Causes
- Implantation haemorrhage: After a sperm fertilizes an egg, the fertilized egg implants in the uterus. Sometimes, implantation may cause spotting known as implantation bleeding.
- Ectopic pregnancy: Signs and symptoms of an ectopic pregnancy include intestinal pain and vaginal haemorrhage.
- Pregnancy: According to the American Pregnancy Clan , 20% of women experience spotting during the outset 12 weeks of being meaning.
- Miscarriage: Heavy spotting is one of the symptoms of miscarriage.
- Breastfeeding: Depending on the frequency of breastfeeding and your individual hormone levels, spotting may occur before total periods return.
Other Causes
- Fibroids or polyps: Symptoms of these benign tumors can include irregular or heavy periods and heavy bleeding between periods.
- Endometriosis: According to the Mayo Clinic , women with endometriosis may experience occasional heavy menstrual periods and bleeding or spotting betwixt periods (intermenstrual bleeding).
- Polycystic ovary syndrome (PCOS): PCOS is a syndrome associated with abnormal ovulation that can sometimes brand it difficult to become significant. It tin can also cause abnormal bleeding, including irregular menstrual periods or none at all.
- Blood clotting disorders like von Willebrand illness—which affects the blood's ability to jell—can result in bleeding between periods. Warning signs include heavy haemorrhage later on injury, frequent prolonged nosebleeds, or routine procedures such as dental work.
- Other health conditions , like hypothyroidism, liver affliction, or chronic kidney disease, can cause not-period bleeding.
- Cancer: Cancer or precancer of the neck, uterus, or (very rarely) fallopian tube can cause spotting or abnormal haemorrhage.
Perimenopause & Menopause
- Perimenopause: The time before menopause is known equally perimenopause. During perimenopause, hormone levels fluctuate greatly. These hormonal shifts tin take an upshot on ovulation and your entire menstrual cycle. Some women notice irregular or skipped periods and aberrant bleeding between periods during perimenopause.
- Vaginal dryness: Equally vaginal mucosa gets thinner due to lack of estrogen after menopause, it is also more vulnerable to irritation which can crusade haemorrhage.
- Cancer: According to the Dana-Farber Cancer Institute , spotting in mail service-menopausal women can, in some cases, be an early sign of cancer and should ever be investigated farther.
When to Seek Medical Communication
If experiencing persistent spotting or heavy bleeding outside of your flow and/or your bleeding is accompanied by whatsoever of the following symptoms, information technology warrants getting some medical advice from your doctor or qualified wellness professional.
- Heavy periods with a lot of clotting
- Irregular periods
- Abdominal hurting or cramping
- Hurting or a burning sensation when peeing
- Abnormal vaginal discharge and/or redness, irritation, or itchiness of the vagina or external genitalia (vulva)
Don't Ignore Spotting in These Situations
Even if you don't have any of the above symptoms, don't always ignore spotting, abnormal vaginal bleeding, or abnormal uterine haemorrhage in the following situations:
- If yous think you're pregnant: Y'all should ever run across a dr. as shortly as you lot think you may be significant to exist administered a pregnancy exam
- When information technology happens inconsistently: If spotting seems to happen frequently and randomly, you should definitely look into it
- It begins afterward unprotected sexual activity: Unprotected sexual practice tin put you at run a risk for STIs and other infections, so if y'all detect spotting later unprotected sex, information technology'due south wise to visit a md or qualified health professional.
- Yous are on medication: If spotting tin be a side result of whatsoever medication you are on, y'all should seek out professional person aid from a healthcare provider.
- Spotting occurs post-menopause: It is never considered normal for anybody post-menopause to experience spotting or vaginal bleeding.
What to Expect at Your Doc's Visit
When you encounter your doctor, she volition want to know:
- How long this has been happening: Is information technology something you lot've always experienced, or did information technology start recently etc.
- How oftentimes does it happen: Is information technology monthly or irregular? Is this the get-go fourth dimension it's happened?
- If there'southward a pattern to the bleeding: Have y'all observed the spotting happens on certain days in your menstrual cycle or seemingly at random?
- How long did the spotting last: 1–two days or more than?
- How heavy was the haemorrhage: Did you use any protection? Was a panty liner insufficient?
- Was there annihilation unusual about the claret: Color, texture, or odor?
- Did you as well experience pain while you lot were haemorrhage?
- Did the bleeding coincide with any increased physical exertion (sex, exercise, etc.)?
- Was there anything you did that seemed to brand the spotting amend or worse?
Your md may also examine you. The tests your doc might recommend volition depend on your age and other factors. If you could be meaning, they will likely obtain a pregnancy test.
They will most likely order bloodwork to check your blood count and see if you're anemic.
Other tests your doctor may recommend in order to decide a cause of aberrant uterine haemorrhage may include:
- Endometrial biopsy: An endometrial biopsy is used to screen for abnormal cells in the uterus. Acquire more from Johns Hopkins Medicine .
- Hysteroscopy: A hysteroscopy allows your doctor to look inside your uterus in order to diagnose and treat the causes of aberrant haemorrhage. Learn more than from the Cleveland Dispensary .
- Pelvic Ultrasound: A pelvic ultrasound allows quick radiographic visualization of the female pelvic organs and structures, including the uterus, neck, vagina, fallopian tubes, and ovaries. Learn more from Johns Hopkins Medicine .
Determination
It can crusade feet and stress when you starting time haemorrhage or spotting without explanation. However, as we've seen, there are a number of different causes of spotting.
If this is happening to you, don't jump to the worst possible decision. Rail what's happening and decide if you need to seek medical advice.
Although many of usa experience anxiety about the idea of a physician'south visit, it might be the easiest way of finding reassurance. If there is something to be concerned virtually, y'all'll be glad you acted.
Medically reviewed past Dr. Chimsom T. Oleka, M.D , Written by Jane Flanagan — Updated on November ane, 2021.
Source: https://knix.com/blogs/resources/spotting-after-period-ends-possible-explanations
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