What Is Breakthrough Bleeding, Why Does It Occur?

When vaginal bleeding occurs outside of normal periods, there may be many reasons for this. While the treatment of some causes is quite simple, some causes have a serious underlying condition. When breakthrough bleeding, spotting or heavier bleeding is noticed; A doctor should be consulted for testing, diagnosis and treatment options. Causes of intermediate bleeding;

A growth in your uterus or cervix

Stress, boredom or fatigue,

Change in medications used,

Miscarriage in case of pregnancy,

Vaginal dryness,

Hormone imbalance,

Significant weight gain or loss

Inserting an object into the vagina

Even finally, it can be cancer.

When is Breakthrough Bleeding Other Than Menstrual Period Dangerous?

First of all, it should be known; These bleeding that occurs outside of menstrual periods are not normal. The average menstrual cycle lasts 21 to 35 days. It is normal for a few days to a week with the menstrual bleeding process. Any bleeding other than this is due to various factors.

Hormonal Imbalance

Estrogen and progesterone hormones regulate the menstrual cycle. If there is an imbalance in hormones;

Dysfunctional ovaries

Thyroid gland problems

It can lead to situations such as starting or stopping birth control pills.

It is normal to experience abnormal bleeding for the first three months after starting any hormonal birth control method.

Pregnancy Complications

During pregnancy, complications can cause spotting. However, there is also the possibility of ectopic pregnancy and miscarriage. Since the difference between the two is not visible, a doctor should be consulted immediately if bleeding occurs during pregnancy.

Uterine Fibroids

Uterine fibroids are growths that occur in the uterus but are not cancerous. It is generally seen in women who have never given birth.


Breakthrough bleeding may indicate an infection in the reproductive organ. This infection also causes inflammation. Especially;


Sexually transmitted infection,

Vaginal diseases,

Pelvic inflammatory disease that causes inflammation of the reproductive organs leads to infection.


Any of the types of vaginal cancer can cause breakthrough bleeding. Therefore, in case of abnormal bleeding, a doctor should be consulted.

What Are The Precautions To Be Taken For Intermediate Bleeding?

First, it’s always helpful to keep track of the cycle. It should be noted when the menstrual period begins and ends. It is also helpful to note the duration of the menstrual cycle and when and how much bleeding occurred between periods. This type of information will be asked by the doctor for the correct diagnosis.

A physical exam will be performed, including a pelvic exam. Diagnostic tests help find the cause of the bleeding. A culture or tissue may be taken from your cervix or the lining of the uterus for a test called a biopsy. In addition, ultrasound is one of the diagnostic methods. You need to be prepared for all these while going to your doctor.

Don’t Ignore Break Bleeding

Sometimes such abnormal bleeding resolves spontaneously. However, it is necessary to know the underlying cause and to treat it. Ignoring the problem can make it worse. If it’s an infection, cancer, or another serious disorder, the consequences will be life-threatening. Thanks to the treatment methods, bleeding between periods can be prevented depending on the cause. Especially adopting a healthy lifestyle, maintaining weight control and avoiding stress helps to end breakthrough bleeding.

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