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Intermenstrual bleeding (IMB), or metrorrhagia, is vaginal bleeding at irregular intervals between expected menstrual periods. [1] It may be associated with bleeding with sexual intercourse . [ 2 ] The term metrorrhagia, in which metro means measure and -rrhagia means abnormal flow, [ 3 ] is no longer recommended.
Leukorrhea can be confirmed by finding >10 WBC per high-power field under a microscope when examining vaginal fluid. [6] Vaginal discharge is normal, and causes of change in discharge include infection, malignancy, and hormonal changes. It sometimes occurs before an adolescent female has her first period, and is considered a sign of puberty.
Bleeding and spotting are common during the luteal phase of the menstrual cycle, and early stages of pregnancy, but are unrelated to implantation. Implantation bleeding occurs between 7 and 14 days after fertilization, [57] and is a small amount of light vaginal bleeding or spotting that can occur in early pregnancy due to the blastocyst ...
Discharge color can also clue you in to an infection. Minkin points out that discharge from bacterial infections such as BV can be grayish in color, while trichomoniasis is usually greenish-yellow.
Vaginal discharge can be an awkward topic to bring up with your friends or even mom. But vaginal discharge is a completely normal function of the body, and a vital way of keeping your vagina clean ...
Trichomonas vaginitis is an infection acquired through sex that is associated with vaginal discharge. [28] It can be transmitted by way of the penis to the vagina, the vagina to the penis, or from vagina to vagina. [32] The discharge in Trichomonas is typically yellowish-green in color. [28] It sometimes is frothy and can have a foul smell. [33]
Of women with heavy menstrual bleeding, up to 20% will have a bleeding disorder. [24] Heavy menstrual bleeding since menarche is a common symptom for women with bleeding disorders, and in retrospective studies, bleeding disorders have been found in up to 62% of adolescents with heavy menstrual bleeding. [25]
Bleeding from hemorrhoids and vulvar lesions can be mistaken for postcoital bleeding. [4] Post coital bleeding can occur with discharge, itching, or irritation. This may be due to Trichomonas or Candida. [13] A lack of estrogen can make vaginal tissue thinner and more susceptible to bleeding. Some have proposed that birth control pills may ...