bleeding beginning after menstruation and are not related to menstruation, called metrorrhagia.They usually occur unexpectedly occur at any age, there are clotted and without them, may have different intensity - from minor to get dirty secretions abundant.This is one of the most common problems that women of all ages come to the reception to the gynecologist.Bleeding after menstruation usually begins a week or two after the end of menstruation.The most common evidence of the problems in the reproductive system and requires quick access to the antenatal clinic for diagnosis and treatment.

Why are there?

reasons for bleeding after menstruation is very different.It may be hormonal disorders, and a variety of diseases, not only gynecological.It is necessary to take into account the age of the woman, that is a difference in physiology in different periods of life.In every age may have their own reasons for bleeding after menstruation.Among the main are the following:

  • Diseases of the genital organs o
    f an inflammatory nature.
  • Oral contraceptives (reception and cancellation).
  • Endometriosis.
  • cervical disease.
  • Benign and malignant tumors of the genital organs.
  • IUD.
  • Violation of ovarian function.
  • Gynecological surgery.
  • Reduced thyroid function.
  • Stress.

Bleeding associated with dysfunction of the ovaries, is conventionally divided into juvenile occurring in the reproductive age and premenopausal.


Such bleeding after menstruation occur in teenage girls at a time when the menstrual period is only beginning to be established, ie at the age of 13-17 years.The most common juvenile bleeding occur in the first two years when the month is not regular.They may start after a delay of menstruation 1.5 - 6 months, but can occur 10-14 days after the last menstrual period.They are intense and last longer than a week.They can lead to anemia, symptoms of which - dizziness, weakness, fainting, pale skin.The reasons - stress, vitamin deficiency, malnutrition, infectious diseases of genitals.

in reproductive age

Such bleeding often occur two weeks after the last menstrual period.The main causes of this event:

  • infectious diseases;
  • anovulation;
  • abortion;
  • endocrine disorders;
  • intoxication;
  • stress;
  • ectopic pregnancy;
  • reaction to the intake of certain drugs.

Prolonged bleeding woman experiences symptoms such as weakness, dizziness, headache.Maybe drop the pressure and more frequent palpitations.

ectopic pregnancy in which the embryo develops outside the body genitals are very dangerous and can threaten a woman's life.In an ectopic pregnancy the blood discharge not related to the phase of the cycle.This reduces the pressure to appear cramping pain in the lower abdomen, dizziness, possible fainting.

When menopause

Not so rarely observed intermenstrual bleeding in premenopausal women from 45 to 50 years.This is primarily due to the hormonal changes that occur at this age in the female body.As is well known, upon the occurrence of menopause, ovarian function is extinguished.Before the onset of menopausal often arise very heavy bleeding, the cause of which is uterine fibroids.

In diseases

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Allocation (from spotting to heavy) arise before and after menstruation for the following diseases:

  • uterine fibroids:
  • internal endometriosis;
  • chronic endometritis;
  • endometrial polyps.

In endometriosis after monthly bleeding can be with blood clots - is due to the fact that the pieces of the enlarged uterine mucosa invade other organs and form clots there.When endometrial hyperplasia, endometrial cancer, cervical cancer, uterine bleeding are abundant and do not depend on the phase of the cycle.When genital cancers woman complains of general weakness, back pain, and later begin to swell legs appear bowel disorder.

Hypothyroidism, or failure of the thyroid gland - is another fairly common cause of uterine bleeding.At the same time the woman feels a constant weakness and fatigue, experiencing apathy to everything, gets tired quickly.The treatment takes endocrinologist.

Treatment Treatment of these pathologies depends on the causes of and the reason is strictly under medical supervision.To self-medicate and delay a hike to the hospital in the hope that will take place over time, in any case impossible.

When the juvenile bleeding after menstruation, blood is required stop using hormonal medications that a doctor may prescribe only.In addition, infusion therapy is prescribed, anti-anemic agents, vitamins, sedatives.In some cases, not be ruled out surgery for uterine curettage.

When bleeding after a month in the reproductive age may be indicated scraping the uterine cavity.Be sure to take the analysis of a scraping of the endometrium.Typically prescribed hormone therapy.If an ectopic pregnancy need early diagnosis and immediate medical assistance, otherwise the business can end a woman's death.Ectopic pregnancy is treated surgically.

When bleeding after menstruation can be surgical treatment

If opened during pre-menopausal bleeding, may appoint scraping of the uterus and cervix.Hormonal drugs to stop it, as a rule, are not assigned.In cancer, fibroids, adenomyosis, surgical intervention.

How to distinguish between bleeding from the urethra?

uterine bleeding can be confused with the blood secretions of the urethra, which is located near the entrance to the vagina.The blood from the urethra evidence of kidney, bladder, ureters.You can distinguish them by the following features: flank pain, urinary incontinence, pain when urinating, fever.In any case, you need to go to the hospital.Diagnosis should put the doctor, all the more so when the blood secretions of the genital tract diagnosis is difficult.


If you start bleeding from the genital organs, is not associated with menstruation, need to quickly seek medical attention and in any case not to self-medicate.It is important to remember that it may be associated with life-threatening diseases and pathologies.Furthermore, some diseases with symptoms can lead to infertility.Significant loss of blood in any case lead to anemia, which is characterized by loss of strength.