Metrorragia is a medical term that refers to uterine bleeding outside the menstrual period, which can occur due to irregularities in the cycle, stress, exchange of contraceptives or their incorrect use, or may be a symptom of premenopausality.
However, in some cases, bleeding outside your period may be a symptom of a more serious condition, such as inflammation of the uterus, endometriosis, sexually transmitted infections, or thyroid disorders, for example, that should be treated as soon as possible.
The causes that may be causing metroragia and that are not a cause for concern are:
However, although it is rarer, metrorrhgia may be a sign of a more serious condition that needs treatment, it is important to see the gynecologist as soon as possible.
Diseases that can cause bleeding outside the menstrual period include inflammation of the uterus, cervical or vaginal disease, pelvic inflammatory disease, endometriosis, polycystic ovaries, sexually transmitted infections, adenomyosis, torsion of the fallopian tubes, presence of polyps in the uterus, thyroid deregulation, bleeding disorders, malformations and cancer.
See also the causes of abundant menstrual flow and know what to do
Generally, your gynecologist performs a physical exam and may ask questions about the intensity and frequency of bleeding and lifestyle.
In addition, your doctor may also perform an ultrasound, to analyze the morphology of your reproductive organs and request blood and urine tests and/or an endometrial biopsy, in order to detect possible abnormalities or hormonal changes.
Treatment of metrorhagia depends on the root cause. In some cases, lifestyle changes may be sufficient, while in others, hormone treatments may be necessary.
If metrorragia is caused by a disease, after diagnosis, the gynecologist may refer the person to another specialist, such as an endocrinologist for example.