What i really need is what makes me bleed
Find sexual health clinic contact details. A healthcare professional will talk to you about your symptoms. Depending on your situation, they may suggest doing some tests, such as:. Find out the answers to more questions about women's health. Page last reviewed: 5 November Next review due: 5 November When the ovaries release an egg at ovulation, a tiny follicle ruptures to allow the egg out.
In some women, this causes light spotting that lasts for a day. There might be a sudden lower right or left twinge a few days before as ovulation occurs. Ovulation spotting takes place in the middle of the cycle and is never heavy. Rarely, it may be accompanied by light cramping that may last from a few hours to one day. Uterine fibroids and polyps are noncancerous growths in the uterus. They can grow quite large, however, and may cause pain and other symptoms.
Many women with fibroids or polyps experience irregular bleeding between periods. Certain types of spotting can also signal the presence of these uterine growths. This includes spotting that lasts across several cycles, or that is accompanied by:. About a week after a sperm fertilizes an egg, the egg must implant in the uterus.
Sometimes this causes light bleeding known as implantation bleeding. The bleeding typically only lasts a day or two and occurs around a week after ovulation. Hormonal contraceptives, including birth control pills and hormonal shots and implants, can cause spotting. Spotting may change over time, occur intermittently, or follow a predictable pattern.
If spotting begins several months after starting contraceptives, with no previous spotting, it may point to an underlying problem and the woman should visit her doctor. Breast-feeding suppresses ovulation, particularly if the baby is exclusively breast-fed. It is important to know that ovulation will occur about 2 weeks before the first period, so it is possible to get pregnant while breast-feeding. However, many women who are breast-feeding experience spotting.
Hormonal shifts related to breast-feeding can cause spotting. Hormonal changes that occur as the body prepares to ovulate for the first time after childbirth may also trigger spotting.
An injury to the vagina, cervix, or uterus may cause abnormal bleeding. Rough sexual intercourse or a PAP test , for example, can irritate the cervix or vaginal tissue and cause bleeding.
However, unexplained bleeding that is heavy or accompanied by pain can be a medical emergency. About half of women who experience bleeding during pregnancy will have a miscarriage. In some cases, bleeding is the first sign that a woman is pregnant. Very early miscarriages may even be mistaken for unusually heavy menstrual periods.
Some sexually transmitted infections STIs can cause abnormal vaginal bleeding that looks like spotting. A few examples are: Aspirin and other medicines called blood thinners that prevent blood clots. Corticosteroids, such as prednisone.
Hormone therapy. Thyroid medicines. Pain in adults and older children Severe pain 8 to 10 : The pain is so bad that you can't stand it for more than a few hours, can't sleep, and can't do anything else except focus on the pain. Moderate pain 5 to 7 : The pain is bad enough to disrupt your normal activities and your sleep, but you can tolerate it for hours or days. Moderate can also mean pain that comes and goes even if it's severe when it's there.
Mild pain 1 to 4 : You notice the pain, but it is not bad enough to disrupt your sleep or activities. Shock is a life-threatening condition that may quickly occur after a sudden illness or injury. Adults and older children often have several symptoms of shock. These include: Passing out losing consciousness. Feeling very dizzy or lightheaded, like you may pass out. Feeling very weak or having trouble standing.
Not feeling alert or able to think clearly. You may be confused, restless, fearful, or unable to respond to questions. Seek Care Now Based on your answers, you may need care right away. Call your doctor now to discuss the symptoms and arrange for care. If you cannot reach your doctor or you don't have one, seek care in the next hour. You do not need to call an ambulance unless: You cannot travel safely either by driving yourself or by having someone else drive you.
You are in an area where heavy traffic or other problems may slow you down. Seek Care Today Based on your answers, you may need care soon. Call your doctor today to discuss the symptoms and arrange for care.
If you cannot reach your doctor or you don't have one, seek care today. If it is evening, watch the symptoms and seek care in the morning. If the symptoms get worse, seek care sooner. Make an Appointment Based on your answers, the problem may not improve without medical care.
Make an appointment to see your doctor in the next 1 to 2 weeks. If appropriate, try home treatment while you are waiting for the appointment. If symptoms get worse or you have any concerns, call your doctor.
Call Now Based on your answers, you need emergency care. Call or other emergency services now. Home Treatment There is no home treatment for abnormal vaginal bleeding.
Symptoms to watch for during home treatment Call your doctor if any of the following occur during home treatment: Abnormal bleeding returns. Bleeding increases or becomes severe enough to cause weakness or lightheadedness.
Fever or pain in the lower abdomen develops. Symptoms become more severe or frequent. Prevention You may be able to prevent abnormal vaginal bleeding. Maintain a healthy weight. Women who are overweight or underweight have more problems with abnormal vaginal bleeding. For more information, see the topic Weight Management.
If you are using birth control pills, be sure to take them as directed and at the same time every day. If you are taking hormone therapy , take your pills as directed and at the same time every month. Learn to practice relaxation exercises to reduce and cope with stress. Stress may cause abnormal vaginal bleeding. For more information, see the topic Stress Management. NSAIDs reduce menstrual bleeding by decreasing the production of substances called prostaglandins. The usual recommended dose of ibuprofen is mg every 6 hours.
Begin taking the medicine on the first day of your period and continue taking it until your menstrual bleeding stops. Be sure to follow these nonprescription medicine precautions.
Carefully read and follow all label directions on the medicine bottle and box. Use, but do not exceed, the maximum recommended doses. Do not take a medicine if you have had an allergic reaction to it in the past. If you have been told to avoid a medicine, call your doctor before taking it. If you are or could be pregnant, call your doctor before using any medicine.
You can help your doctor diagnose and treat your condition by being prepared to answer the following questions: What was the date of your last menstrual period? Was your previous period normal? Do you have regular cycles, such as a period every 25 to 35 days? If you have been through menopause , how long ago was your last menstrual period? How severe heavy is your usual menstrual flow? Keep track of your menstrual flow on a calendar, and take your calendar to show your doctor.
What is the average length of each period, and how many pads or tampons do you use per day during your period? Do you pass many clots, and how big are they? Do you change pads or tampons during the night?
Are you sexually active? Do you engage in high-risk sexual behaviors? Are you currently using any type of birth control method? Have you missed any birth control pills or failed to have your Depo-Provera injection according to schedule?
Have you done a home pregnancy test? If so, when did you do the test, and what was the result? Have you been under increased physical or emotional stress?
Have you recently changed your diet or exercise habits? Have you recently gained or lost weight?
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