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):

Endometriosis
Ovarian Cysts
Adrenal Fatigue
Endometrial Cancer
Low Progesterone
Fibroids
Ectopic Pregnancy
Endometrial Hyperplasia

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:

non-human estrogen use

occasional runny nose

very slow recovery from colds/flu

sinusitis

frequent unexplained vomiting

low progesterone level

irritability related to cycle

endometrial cancer

sugar/sweet craving

diminished perspiration

pre/menstrual depression

hyperthyroidism

... and more than 90 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
Fibroids	91%	Confirm
Low Progesterone	28%	Unlikely
Ectopic Pregnancy	12%	Unlikely
Endometriosis	5%	Ruled out
Endometrial Cancer	2%	Ruled out
Endometrial Hyperplasia	0%	Ruled out
Adrenal Fatigue	0%	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:

Ectopic Pregnancy

Endometrial Hyperplasia

Endometriosis

Fibroids

Hypothyroidism

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

Low Adrenal Function / Adrenal Insufficiency

Ovarian Cancer

Ovarian Cysts

Ovarian cysts may cause a variety of menstrual abnormalities, including Metrorrhagia, depending on the hormone produced by the cyst. Metrorrhagia can also be a result of an ovarian cyst being unusually large, blocking the blood supply or rupturing.

Progesterone Low or Estrogen Dominance

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