Bleeding Between Periods

What Causes Bleeding Between Periods?

Bleeding between periods can have various causes, ranging in severity from 'troubling' to 'generally fatal'.  Finding the true cause means ruling out or confirming each possibility – in other words, diagnosis.

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Diagnosis is usually a complex process due to the sheer number of possible causes and related symptoms.  In order to diagnose bleeding between periods, we could:

  • Research the topic
  • Find a doctor with the time
  • Use a diagnostic computer system.
The process is the same, whichever method is used.

Step 1: List all Possible Causes

We begin by identifying the disease conditions which have "bleeding between periods" as a symptom.  Here are eight of many possibilities (more below):
  • Ovarian Cancer
  • Low Progesterone
  • Hypothyroidism
  • Endometrial Cancer
  • Ectopic Pregnancy
  • Fibroids
  • Ovarian Cysts
  • Adrenal Fatigue

Step 2: Build a Symptom Checklist

We then identify all possible symptoms and risk factors of each possible cause, and check the ones that apply:
pear-shaped body when overweight
painful deep penetration during sex
short-term memory failure
allergies to certain foods
poor tolerance of heat
suspected adrenal insufficiency
coffee consumption
unexplained missed periods
major unexplained weight loss
hyperthyroidism
water retention before menstruation
significant abdominal distension
... and more than 140 others

Step 3: Rule Out or Confirm each Possible Cause

A differential diagnosis of your symptoms and risk factors finds the likely cause of bleeding between periods:
Cause Probability Status
Endometrial Cancer 97% Confirm
Adrenal Fatigue 29% Unlikely
Ectopic Pregnancy 22% Unlikely
Hypothyroidism 5% Ruled out
Low Progesterone 5% Ruled out
Ovarian Cancer 3% Ruled out
Fibroids 1% Ruled out
Ovarian Cysts 0% Ruled out
* This is a simple example to illustrate the process

Arriving at a Correct Diagnosis

The Analyst™ is our online diagnosis tool that learns all about you through a straightforward process of multi-level questioning, providing diagnosis at the end.

If you indicate being premenopausal or being perimenopausal, The Analyst™ will ask further questions including this one:
Do you have bleeding between periods?
Possible responses:
→ Don't know
→ No
→ Occasionally / moderately
→ Often / severely
Based on your response to this question, which may indicate either absence of bleeding between periods or bleeding between periods, The Analyst™ will consider possibilities such as:
Endometrial Cancer

The most common sign of endometrial cancer is unusual bleeding from the vagina, especially bleeding that occurs after passing through menopause.

Hypothyroidism

Prolonged and/or heavy periods are a sign of hypothyroidism.

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