What should you know about non stop bleeding between periods?

Bleeding between periods includes spotting or flow outside your expected menstrual pattern. Hormonal contraception, missed doses, ovulation, thyroid problems, and the transition toward menopause can alter the lining. Chlamydia, cervical dysplasia, and cervical cancer can present with abnormal bleeding. Endometrial polyps and uterine fibroids may also cause bleeding from inside the womb; womb cancer is another condition clinicians consider, especially when other risk features are present.

The evaluation depends on age, pregnancy possibility, cycle pattern, medicines, pain, discharge, and whether bleeding follows sex. A clinician may offer a pregnancy test, blood tests, infection testing, a pelvic examination, cervical screening, ultrasound, or other womb assessment.

Book a medical appointment if bleeding continues, returns across cycles, or differs from your usual period. Note the dates, flow, clots, pain, sexual triggers, contraception, and medicines. Take a pregnancy test if pregnancy is possible, and do not stop prescribed hormonal treatment without discussing it with the prescriber.

Treatment follows the cause. It may involve adjusting contraception, treating infection, managing fibroids or polyps, or investigating the womb lining. Surgery such as radical hysterectomy is reserved for selected diagnoses and is not a routine response to unexplained spotting.

Seek urgent help for heavy bleeding with dizziness, faintness, shortness of breath, severe pain, or possible pregnancy. Prompt assessment is also needed for fever, offensive discharge, or a new severe pelvic symptom. Bleeding after menopause should be evaluated rather than assumed to be a period.

Ask which causes fit your pattern, whether you need pregnancy or infection testing, and whether an ultrasound or womb examination is appropriate. Ask when results should be reviewed and which bleeding changes should trigger urgent help.