SoftCare Clinic

Menstrual Cycle

Metrorrhagia (Irregular Menstrual Bleeding)

Some irregular bleeding that occurs between menstrual periods is referred to as metrorrhagia.

Of course, women want to experience a healthy period, with a normal amount of bleeding occurring at the expected time.

But this isn't always the case.

One such issue is metrorrhagia.

Metrorrhagia refers to a small amount of spotting or light bleeding that occurs again, a few days after a normally timed period has already ended.

Experiencing this can be quite stressful and distressing for women.

This type of bleeding (metrorrhagia) can be a symptom of an underlying gynecological issue.

Whether this has never happened to you before or you've experienced it a few times, having a gynecological exam is very important for early detection.

Possible Causes of Metrorrhagia

  • An undetected or unrecognized pregnancy ending in miscarriage
  • Conditions related to hormonal irregularities
  • Stress-related conditions, or sudden changes in lifestyle
  • Use of medications that can cause this type of side effect
  • Use of an intrauterine device (IUD)
  • After sexual activity
  • Irregularities in vaginal flora, or insufficient natural secretions
  • After cauterization, freezing, laser, or surgical procedures performed on the cervix
  • Issues related to ovulation
  • The presence of cervical or uterine cancer
  • While taking a regular daily birth control pill, or using any medication that affects hormones
  • Traumatic conditions affecting the vagina
  • After using the morning-after pill or taking excessive birth control pills

If you believe you may be experiencing symptoms of metrorrhagia, be sure to see a gynecologist without delay.

Patients who still have their hymen — meaning they have not had sexual intercourse — should never delay treatment for this condition, as the exam can be performed without any issue concerning the hymen.

References

  1. The two FIGO systems for normal and abnormal uterine bleeding symptoms and classification of causes of abnormal uterine bleeding in the reproductive years: 2018 revisions. Munro MG, et al. International Journal of Gynaecology and Obstetrics, 2018.
  2. Heavy menstrual bleeding: assessment and management (NICE guideline NG88). National Institute for Health and Care Excellence (NICE), 2018.
  3. Irregular periods. NHS (UK National Health Service).

Medically reviewed by Op. Dr. Şükrü Sanus, Obstetrician & Gynecologist · Last medical review: