Bleeding outside the rule

Bleeding and spotting

Out-of-the-box bleeding is also called bleeding or spotting. These are bleeding events that take place outside the monthly female cycle. Such, in the jargon metrorrhagia mentioned, bleeding are not necessarily cause for concern. Thus, a bleeding can occur by unusual stress or by a change in climate. Basically, bleeding outside the rule should be clarified by a gynecologist. Hemorrhages are similar in blood color to a menstrual period, whereas spotting is more brownish.

contents

• Bleeding and spotting
• causes
• ovulation
• Einnistungsblutung
• pregnancy
• The pill"
• hormonal imbalances
• Contact bleeding
• thyroid disorders
• diabetes
• Liver dysfunction
• inflammation
• Tumors, polyps, fibroids
• Examination and therapy
• Naturopathic treatment
• conclusion

causes

The most diverse causes are for bleeding outside the rule in question. A medical check-up with a detailed history, laboratory tests and an ultrasound can in most cases determine the exact cause.

In some women so-called inter-bleedings occur between the menstrual bleeding. The causes are mostly harmless, but in the worst case can also be in a serious illness. (Image: andriano_cz / fotolia.com)

ovulation

Not every woman feels the same as ovulation. The one does not notice him and the other complains about so-called middle pain, possibly together with an ovulation bleeding. This is harmless, but can also be treated with the help of naturopathy.

Einnistungsblutung

Nidation bleeding also belongs to the bleeding outside the rule. This may or may not take place about five to seven days after implantation of the fertilized egg (onset of pregnancy). This is due to small blood vessels that can bleed a bit. This bleeding outside of the rule is mild, so weaker than menstrual bleeding. It resembles a spotting and is usually dark red to brownish. The duration is different. It lasts about one to three days and can be accompanied by pain.

pregnancy

Out-of-line bleeding that occurs during pregnancy does not necessarily have to be threatening, but it is important to clarify it immediately.

If bleeding occurs during pregnancy, it should be clarified urgently by a doctor. (Image: auremar / fotolia.com)

The pill"

During pill intake, undesirable bleeding may occur. For example, when the pill is restarted or the drug is changed. Even with irregular intake this can happen. In addition, the bleeding can indicate that the prescribed pill does not fit the woman and may need to take another preparation.

hormonal imbalances

Hormonal imbalances can lead to bleeding outside of the rule. A spotting, which occurs two to three days before the desired menstrual period, indicates a luteal deficiency. A spotting following menstruation suggests a lack of estradiol (the most important of the three "estrogens": estradiol, estrone, estriol). During menopause, the woman comes in a "confusion of hormones". This can also lead to intermittent or spotting. But even in puberty, until the cycle of the girls has properly recorded, bleeding or spotting are possible.

Contact bleeding

Bleeding outside of the rule can occur as a contact bleeding. These are bleeding after intercourse or in conjunction with a gynecological examination or by wearing a spiral. It bleeds the mucous membrane, which is located near the cervix. This is very thin and the vessels that supply the mucous membrane are very close to the surface. Contact bleeding affects mostly young women. Often this symptom goes by itself, without any treatment. However, the bleeding should definitely be gynecologically clarified.

thyroid disorders

Existing hypothyroidism may, but need not, lead to cycle disturbances such as out-of-line bleeding. Both the thyroid and the ovaries are regulated by the same control centers (hypothalamus and pituitary gland). For example, autoimmune thyroid disease, Hashimoto's thyroiditis, which causes hypothyroidism during the course of the disease, affects the whole body and also the sex hormones. If these are not in balance, intermittent or spotting bleeding may occur.

Even with hyperthyroidism, which is accompanied by weight loss, increased thirst, restlessness, heat sensitivity and palpitations, cycle disturbances in the form of bleeding outside of the rule, up to the absence of the period (amenorrhea) can join.

diabetes

Diabetes is a metabolic disorder that affects the entire organism and can negatively affect a woman's normal cycle.

Liver dysfunction

Liver dysfunction also affects the overall metabolism, but also affects the secretion of hormones. This can lead to irregular bleeding or even a complete absence of the rule.

inflammation

Out-of-control bleeding may be associated with inflammation of the cervix. The affected suffer from yellowish discharge. If pain and fever are added, it may indicate inflammation of the uterus. The causes of this are, for example, chlamydia, gonococci and streptococci, which run from the vagina to the uterus.

Tumors, polyps, fibroids

Polyps or fibroids in the uterus can be the cause of bleeding outside the rule. A fibroid is a benign growth in the muscular layer of the uterus. A polyp in the uterus is a benign tumor consisting of uterine lining cells.

A cancerous event can also cause bleeding outside of the rule, especially when the period is long gone, so the woman is already beyond the menopause. Such sudden bleeding must be investigated as soon as possible.

Various forms of ulcers and polyps in the uterus can also lead to intermenstrual bleeding. (Image: nmfotograf / fotolia.com)

Examination and therapy

Non-normal bleeding that is unique, such as mental stress or climate change, is not necessarily a cause for concern. However, if the bleeding occurs more frequently, it should be urgently clarified by a gynecologist. Bleeding after menopause should always be the occasion for a specialist review.

The gynecologist, after a detailed medical history, will examine the affected woman closely. It may be necessary to have a laboratory examination and an MRI or CT. Underlying diseases that cause the bleeding are treated with the appropriate means.

Naturopathic treatment

In the case of bleeding outside the rule, it is first necessary to go to the doctor before a naturopathic treatment may be given to a non-medical practitioner. Serious illnesses must be excluded.

If the cause of the bleeding is a hormonal imbalance, the therapist may order a salivary hormone test to test the various hormones, such as progesterone and estradiol. On the basis of the findings bio-identical hormones or plants from phytotherapy are prescribed. For example, the woman's coat has a hormonal balancing effect. Chasteberry is used to balance estrogen and progesterone. The silver candle, hops and fenugreek have a mild estrogen-like effect.

Among the medicinal plants, lady's mantle has proven to be particularly effective against hormonal bleeding. (Image: LianeM / fotolia.com)

In addition, hormonal disorders are often treated with acupuncture in natural medicine. A reflexology therapy is also a great way to balance the hormonal situation. Thyroid disorders must of course be clarified by a doctor. However, a naturopathic therapy can also serve well with conventional medicine. Inflammation can also be treated well with phytotherapy, homeopathy and Schuessler salts.

Of course, liver dysfunction belongs to the medical profession. However, for example, the milk thistle can do a lot of good to the liver. This plant is prescribed in the form of tea, in capsule or drop form.

In contact bleeding, if previously clarified gynecological, help depending on the cause of plants such as lady's mantle, shepherd's purse, yarrow and horsetail. The middle pain, which often occurs in connection with bleeding, responds quite well to the following medicinal plants: lady's mantle for cramping pains and bleeding, goose-finger herb in convulsions, yarrow in pain and bleeding.

conclusion

Bleeding outside the rule is always serious. They do not have to mean anything bad, but - especially if they always occur repeatedly - should definitely be clarified by a doctor. Dear once too much clarification than once too little! (Sw)
Specialist supervision: Barbara Schindewolf-Lensch (doctor)