Metrorrhagia

Christopher Hobbs:

“Metrorrhagia is bleeding from the uterus other than during a normal menstrual cycle. Metrorrhagia can be due to fibroid cysts, tumors, infections, or hormonal imbalances. If the bleeding persists more than 1 cycle, or is very heavy, it is best to consult a qualified health care professional.”

Etiologic and Contributing Factors for Slow Metrorrhagia

Metrorrhagia refers to irregular, non-menstrual bleeding from the uterus, often between menstrual periods. Slow metrorrhagia may be influenced by the following factors:

1. Hormonal Imbalances:
   • Dysfunction of the hypothalamic-pituitary-ovarian axis.
   • Thyroid disorders (e.g., hypothyroidism or hyperthyroidism).
   • Polycystic ovary syndrome (PCOS).
2. Uterine and Structural Issues:
   • Uterine fibroids or polyps.
   • Endometriosis or adenomyosis.
   • Uterine or cervical infections.
3. Medications:
   • Hormonal contraception (e.g., missed pills, IUD side effects).
   • Anticoagulants or blood-thinning medications.
4. Other Medical Conditions:
   • Clotting disorders.
   • Stress, extreme weight changes, or eating disorders.
5. Pregnancy-Related Issues:
   • Early pregnancy complications (e.g., miscarriage or ectopic pregnancy).
6. Cancer or Pre-cancer:
   • Endometrial hyperplasia or uterine/cervical cancer.

When to Seek Professional Help

Consider consulting a healthcare provider if you notice the following:

• Heavy bleeding requiring frequent pad changes (e.g., soaking through pads every 1–2 hours).
• Persistent or worsening bleeding lasting more than 7 days.
• Severe pain, cramping, or dizziness.
• Passage of large blood clots.
• Bleeding after menopause or during pregnancy.
• Symptoms of infection (e.g., fever, foul-smelling discharge).
• A family history of clotting disorders, cancer, or other reproductive conditions.