Abnormal vaginal bleeding can relate to an issue with your reproductive system (a gynecologic condition) or to other medical problems or certain medications.
If you're in menopause — generally defined as 12 months, give or take, without a menstrual period — any vaginal bleeding may be a cause for concern and should be evaluated.
causes of abnormal vaginal bleeding include: Cancers and precancerous conditions Cervical cancer Endometrial cancer (uterine cancer) Endometrial hyperplasia Ovarian cancer Uterine sarcoma Vaginal cancer Endocrine system factors Hyperthyroidism (overactive thyroid) Hypothyroidism (underactive thyroid) Polycystic ovary syndrome (PCOS) Stopping or changing birth control pills or menopausal hormone therapy (withdrawal bleeding) Fertility and reproduction factors Ectopic pregnancy Fluctuating hormone levels Miscarriage (before the 20th week of pregnancy) Pregnancy Random ovulatory cycles Sexual intercourse Perimenopause Vaginal atrophy (genitourinary syndrome of menopause) Infections Cervicitis Chlamydia trachomatis Endometritis Gonorrhea Pelvic inflammatory disease (PID) Ureaplasma vaginitis Vaginitis Medical conditions Celiac disease Severe systemic disease, such as kidney or liver disease Thrombocytopenia (low platelet count) (and other blood clotting disorders) Von Willebrand disease Medications and devices Forgotten (retained) tampon Intrauterine device (IUD) Stopping or changing birth control pills or menopausal hormone therapy (withdrawal bleeding) Tamoxifen side effect Noncancerous growths and other uterine conditions Adenomyosis Cervical polyps Endometrial polyps Uterine fibroids Uterine polyps Trauma
Blunt trauma or penetrating injury to the vagina or cervix Sexual abuse
Causes shown here are commonly associated with this symptom. Work with your doctor or other health care professional for an accurate diagnosis.
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June 15, 2021
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