Metorrhagia, often referred to as spotting, raises many questions among affected women. These vaginal bleeding episodes, occurring outside the normally expected menstrual periods, often signal anomalies that deserve consideration. What are the possible causes, associated symptoms, and potential treatments in response to this phenomenon? This comprehensive guide sheds light on these various aspects in order to better understand this often taboo reality.
What are metorrhagias?
Metorrhagias, also known as spotting, refer to blood loss that occurs outside menstrual periods, whether during a pregnancy or even in the complete absence of menstruation. This can affect both young girls who are still in pre-puberty and postmenopausal women. These bleedings are often scarce and may occur spontaneously or following sexual intercourse.
The causes of bleeding
Spotting in young girls
For a young girl who has not yet started her periods, metorrhagias can be attributed to various reasons. Lesions in the vulva or vagina, sometimes caused by scratching or the insertion of an object, can provoke bleeding. Other causes include the introduction of a foreign body, precocious puberty, or sexual abuse.
Spotting in adult women
For women with an active menstrual cycle, several factors may lead to these abnormal bleedings. An irregular cycle, endometriosis, adenomyosis, uterine fibroids, or various hormonal disorders can be responsible for spotting. Gynecological infections or certain diseases, such as thyroid issues, may also play a role.
Spotting in pregnant women
For pregnant women, metorrhagias can signal serious conditions such as an ectopic pregnancy, hematomas in the placenta, or even a miscarriage. Therefore, special attention must be paid to the nature of these bleedings during this delicate period.
Spotting in postmenopausal women
Finally, in postmenopausal women, it is observed that bleeding can result from an ill-suited hormonal treatment, the presence of fibroids or cysts, as well as lesions caused by thinning of the vaginal mucosa. These symptoms should not be ignored, as they can signal more serious problems such as endometrial cancer.
Associated symptoms
Women experiencing metorrhagias often describe bleeding that is light to moderately abundant, which can vary in color. Blood loss may persist for several days, potentially leading to iron deficiencies if not addressed. The consequences of anemia can include fatigue, dizziness, or headaches.
What to do in the face of abnormal bleeding?
Consulting a healthcare professional is essential as soon as abnormal bleeding occurs. During this visit, a combined gynecological exam, potentially with an ultrasound and a smear, will allow for an accurate diagnosis. Not underestimating one’s symptoms remains fundamental in preventing complications.
Possible treatments
Treatment approaches will vary depending on the origin of the metorrhagias. This may include a hormonal treatment, modifications of the contraceptive method, or specific medical treatments addressing infections. In some cases, it may be necessary to resort to surgery to remove polyps or other lesions.
Appropriate protection for spotting
In case of spotting, the use of cotton panty liners allows for managing leaks without discomfort. These protections minimize inconveniences while preserving intimate health.
Metorrhagias are a complex subject that deserves our full attention. Given the various reasons that may underlie them, it is essential to feel free to ask questions and seek appropriate care. One of my friends recently brought up this topic and shared her experience of metorrhagias caused by significant stress. This led her to realize how important it is to know oneself and one’s body. Everyone deserves to be heard and supported in this endeavor, whether by friends, healthcare professionals, or online resources. Don’t hesitate to surround yourself with support and discuss it with those around you.
