Hello, thanks for using health care magic Menometrorrhagia or heavy menses and bleeding between periods could by cause by several conditions including fibroids, infections, endometriosis, etc However, in sexually active women, all forms of per vaginal bleeding necessitate a pregnancy test to rule out pregnancy is a common cause of bleeding. So, i will advice you take and pregnancy test and meet your doctor for detail evaluation and tests such as ultrasound and for an appropriate management. Best regards Dr Achuo