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What Causes Slight Vaginal Bleeding?

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Posted on Mon, 26 May 2014
Question: Hi doctor, my last menstrual cycle was on 25th of april. It was normal as always. But, there is slight bleeding since yesterday, like 4th day. I'm 33 years old and have 2 kids. One is 2008 born and another 2012 dec. can you tell me what could be the problem?
doctor
Answered by Dr. Dr. Soumen Patra (1 hour later)
Brief Answer:
MOSTLY MID-CYCLE OVULATORY BLEEDING. NORMAL.

Detailed Answer:
Hello,

Thanks for writing to us.

According to your given information, slight bleeding is MOSTLY suggestive of mid-cycle or ovulatory bleeding due to sudden DROP in estrogen, occurs just before ovulation. It is quite NORMAL phenomena and bleeding will stop within 1 to 2 days (most cases). You should maintain genital hygiene properly. It is often associated with Mittelschmerz syndrome (mid-cycle ovulatory pain).

PHYSIOLOGIC BASIS: This drop in hormones can trigger withdrawal bleeding in the same way that switching from active to placebo birth control pills does. The rise in hormones that occurs after ovulation prevents such mid-cycle spotting from becoming as heavy or long lasting as a typical menstruation. Spotting is more common in longer menstrual cycles.

Some other underlying causes like hormonal imbalance, pelvic infection, polyp etc may cause above clinical features. If your bleeding continues more than 3 days, then you must consult with Gynecologist to proceed pelvic examination and one Trans Vaginal Ultrasound Scan for confirmation of diagnosis. Proper treatment can be made according to findings and test report.

Hope, it helps for your information. Kindly, close the discussion if you don't have any other query.

Wish your good health and take care yourself.

Regards,
Dr Soumen

For future query, you can directly approach me through

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Soumen Patra (7 hours later)
Thank you doctor for the detailed answer. Today is day 3 and bleeding is still there. Its not a flow though. When I wipe, I can see lot if blood. And little while urinating. Shall wait till tomorrow and see a doc in monday(day 5) if it still persists. Hope it is fine. Thank you for the help. Hv nice weekend.
doctor
Answered by Dr. Dr. Soumen Patra (12 minutes later)
Brief Answer:
WAIT 1-2 DAYS BEFORE VISITING TO DOCTOR.

Detailed Answer:
Hello,

Thanks for your response.

You should wait till tomorrow and visit to your doctor (if bleeding persists) for pelvic examination & ultrasound scan. It will be more worthwhile.

All the best and good luck. Kindly, close the discussion.

Regards,
Dr Soumen
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Soumen Patra

OB & GYN Specialist

Practicing since :2011

Answered : 4061 Questions

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What Causes Slight Vaginal Bleeding?

Brief Answer: MOSTLY MID-CYCLE OVULATORY BLEEDING. NORMAL. Detailed Answer: Hello, Thanks for writing to us. According to your given information, slight bleeding is MOSTLY suggestive of mid-cycle or ovulatory bleeding due to sudden DROP in estrogen, occurs just before ovulation. It is quite NORMAL phenomena and bleeding will stop within 1 to 2 days (most cases). You should maintain genital hygiene properly. It is often associated with Mittelschmerz syndrome (mid-cycle ovulatory pain). PHYSIOLOGIC BASIS: This drop in hormones can trigger withdrawal bleeding in the same way that switching from active to placebo birth control pills does. The rise in hormones that occurs after ovulation prevents such mid-cycle spotting from becoming as heavy or long lasting as a typical menstruation. Spotting is more common in longer menstrual cycles. Some other underlying causes like hormonal imbalance, pelvic infection, polyp etc may cause above clinical features. If your bleeding continues more than 3 days, then you must consult with Gynecologist to proceed pelvic examination and one Trans Vaginal Ultrasound Scan for confirmation of diagnosis. Proper treatment can be made according to findings and test report. Hope, it helps for your information. Kindly, close the discussion if you don't have any other query. Wish your good health and take care yourself. Regards, Dr Soumen For future query, you can directly approach me through http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326