Cold weather can affect a menstrual cycle

The most common causes of intermenstrual bleeding

In addition to their period, many women repeatedly struggle with intermenstrual bleeding. The annoying drainage of blood is usually harmless. But they can also indicate a serious illness. These are the most common causes of intermenstrual bleeding.

Bleeding between periods is called bleeding that occurs outside of your period in the middle of your cycle. In some women they are stronger, in some weaker. They can be light red to brownish in color, be thin or viscous. It is estimated that 15 to 20 percent of women experience the sudden bleeding over and over again. However, there are no reliable figures. Many shy away from going to the doctor and are therefore not recorded.

Always have intermenstrual bleeding clarified

However, women should not come to terms with the intermenstrual bleeding or even consider it normal. "Anyone who suffers from bleeding that has nothing to do with normal menstruation must always consult a gynecologist and have the trigger clarified," advises Professor Ludwig Kiesel, Director of the Clinic for Gynecology and Obstetrics at the University Hospital of M√ľnster and board member of the German Society for Gynecology and obstetrics (DGGG).

Medium-cycle bleeding is usually harmless

In most cases, the bleeding is harmless. But serious illnesses could also be behind the symptom, including malignant tumors of the uterine lining or the cervix. More often, however, the intermenstrual bleeding is part of the normal cycle. "So-called medium-cycle bleeding occurs, for example, when the woman's hormone level changes shortly before ovulation," explains Kiesel. "This is also called withdrawal bleeding. This is weaker than normal menstruation and occurs in some women."

The pill often leads to intermenstrual bleeding

Intermenstrual bleeding can also occur when taking the pill. According to the gynecologist, this can also occur when taking the luteal hormone progestin. However, the exact cause of the hormone-related bleeding disorders is not known. "Even after inserting a hormone coil, intermenstrual bleeding is possible, as well as during or after the menopause - even in the course of hormone therapy," explains the expert. Although this bleeding is not medically questionable, it is a nuisance for most of the women affected. Very strong stress can also have an impact on the hormonal balance and trigger intermenstrual bleeding.

Intermenstrual bleeding after intercourse

Benign growths in the uterus, such as myomas or endometriosis, are also often associated with intermenstrual bleeding. "If bleeding occurs again and again after intercourse, this should be clarified," emphasizes Kiesel. Most of the time, the trigger is harmless. In the case of slowed blood clotting, for example, tiny vascular injuries, such as those that can occur during sexual intercourse, wearing the IUD or intense exercise, do not close quickly enough and are visible as intermenstrual bleeding. "But even a tumor, if irritated, can lead to bleeding," warns the expert.

Take bleeding between periods during pregnancy seriously

The uterus and cervix also become sensitive during pregnancy. Contact bleeding from sexual intercourse is then possible. And not only that: "In early pregnancy there can also be implantation bleeding. And the change in hormone supply is often accompanied by bleeding. Then the ovary no longer produces the hormones, but the uterus itself," explains the expert. Since intermenstrual bleeding during pregnancy can also be a warning sign of a miscarriage, pregnant women should always have them examined.

Monk's pepper a possible help in hormonal disorders

"If the cause of the intermenstrual bleeding is known, it can usually be treated well. However, the body can only be influenced to a limited extent. Every woman is different affect to a certain extent, "says Kiesel.
Taking the pill, but also stopping it, is just as conceivable as a regulating measure, as is scraping, for example if too much uterine lining is formed.

Chaste tree can help

Herbal remedies, such as monk's pepper, can also have a positive effect on the occurrence of intermenstrual bleeding. "There are few studies on monk's pepper because examinations are very expensive. In my practice, however, there are always women who report a positive effect," says the gynecologist. "However, you should only take herbal supplements after consulting a doctor."

Important NOTE: The information is in no way a substitute for professional advice or treatment by trained and recognized doctors. The contents of t-online cannot and must not be used to independently make diagnoses or start treatments.

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