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Bleeding Between Periods

Do You Bleed or Spot Between Periods?

By Tracee Cornforth, About.com

Updated: July 22, 2008

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

Bleeding or spotting between periods can be a frightening experience. You never know when bleeding between periods may occur. Maybe your period was over last week and then you notice that you're bleeding again. Maybe this isn't the first month you've experienced bleeding or spotting between periods. Or it could be the first time you've had bleeding between periods. Whether it's the first time you've experienced bleeding between periods, or just another month of spotting, metrorrhagia is a frustrating and stressful experience.

What is normal menstruation?

Normal menstrual bleeding lasts about five days, and although it may seem like you are losing a lot more blood, the amount of blood lost during your period is only about two to eight tablespoons. While normal menstruation occurs on average every 28 days, anywhere from 25 to 35 days between periods is considered normal.

When should you worry about menstrual bleeding?

If you are post-menopausal, or younger than 11 and vaginal bleeding occurs, consult your physician immediately. You should try to determine where the bleeding is coming from: Are you bleeding from your vagina? Your rectum? Or is blood in your urine?

What causes bleeding between periods?

Although the cause of irregular bleeding can vary according to individual health situations, some of the more common causes include:
  • Abortion
  • Hormonal fluctuations
  • Starting, stopping, or missing oral contraceptives or estrogens
  • Low thyroid levels
  • Stress
  • IUDs occasionally cause slight spotting
  • Injury to the vagina from insertion of objects
  • Malignant cancers
  • undiagnosed vaginal infections
  • Certain drugs, particularly anticoagulants
  • Vaginal dryness
  • GYN procedures

Bed rest may be recommended if between period bleeding is heavy. Use your menstrual cycle calendar to record the number of tampons or pads you use. This information can help your doctor determine whether you are bleeding excessively.

Unless your doctor specifically advises otherwise, never take aspirin while you are menstruating. Aspirin can cause bleeding to occur longer and heavier.

Of course, you should inform your doctor about any bleeding or spotting between periods that you experience.

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