She is aged about 28 years and is married. She has the problem of bleeding even after her menstrual cycle. It occurs a week or two later the actual cycle.

Question

You means to say bleeding in the middle of Menstrual cycle------The condition is termed as Metrorrhagia also known as the dysfunctional uterine bleeding ----Metrorrhagia is common, with patients who are near to their menopausal phase. Basically, this condition is characterized by bleeding episodes (mainly spotting but can lead to severe bleeding) outside the menstrual phase. Metrorrhagia is considered a symptom of a possible health problem but shouldn?t be handled as a serious health problem right away. One should not panic.
Some of the main cause are-----------
?Endometrial hyperplasia. This condition is said to be a result of abnormal levels of estrogen and decreased levels of progesterone. This abnormality in hormonal levels would then prompt excessive endometrial cells.
?Uterine cancer. This is considered a common cause of the metrorrhagia. Increasing age is related to uterine cancer, making postmenopausal women as victims of the uterine cancer. Tumors such as those found in ovarian cysts can result to abnormal off-menstrual bleeding.
?Ruptured polyps. There are cases where a woman is unaware that she has cervical polyps. Somehow, after sexual contact, it will be identified. Postcoital bleeding should not be taken lightly, as this may indicate for presence of polyps in the cervix or endometrium.
?Cervical dysplasia. This condition is a pre-cancer stage that involves vaginal spotting as a symptom. This may be indicative that cancer development is in progress.
?Cervicitis. This is known as infection of the cervix. Bleeding during the infection would indicate prompt attention as this may progress to a chronic problem.
?Abortion or miscarriage. This is a common cause of vaginal bleeding. There are cases where after abortion, fetal parts are left that can cause for vaginal infection and bleeding.
?Infection. Sexually transmitted infection/s is a probable cause of metrorrhagia. Syphilis is known to cause vaginal bleeding. Those who have Lyme disease are prone to metrorrhagia as they become susceptible to infections.
?Hormonal imbalance. There are underlying conditions such as hyperthyroidism/hypothyroidism that cause hormonal imbalance.
?Coagulation problems. Women who have an underlying coagulation (blood clotting) problem such as those prone to bleeding are highly susceptible to metrorrhagia.
?Use of contraception. The use of devices that can traumatize the vaginal or uterine lining can cause bleeding. IUD is a common device to cause metrorrhagia.---------------------
So identify the cause of your problem from above factors and go for a ULTRASOUND ABDOMEN and consult a Gynaecologist for a Physical examination--------------------

Ramneek Gupta · Accepted Answer

You means to say bleeding in the middle of Menstrual cycle------The condition is termed as Metrorrhagia also known as the dysfunctional uterine bleeding ----Metrorrhagia is common, with patients who are near to their menopausal phase. Basically, this condition is characterized by bleeding episodes (mainly spotting but can lead to severe bleeding) outside the menstrual phase. Metrorrhagia is considered a symptom of a possible health problem but shouldn?t be handled as a serious health problem right away. One should not panic.
Some of the main cause are-----------
?Endometrial hyperplasia. This condition is said to be a result of abnormal levels of estrogen and decreased levels of progesterone. This abnormality in hormonal levels would then prompt excessive endometrial cells.
?Uterine cancer. This is considered a common cause of the metrorrhagia. Increasing age is related to uterine cancer, making postmenopausal women as victims of the uterine cancer. Tumors such as those found in ovarian cysts can result to abnormal off-menstrual bleeding.
?Ruptured polyps. There are cases where a woman is unaware that she has cervical polyps. Somehow, after sexual contact, it will be identified. Postcoital bleeding should not be taken lightly, as this may indicate for presence of polyps in the cervix or endometrium.
?Cervical dysplasia. This condition is a pre-cancer stage that involves vaginal spotting as a symptom. This may be indicative that cancer development is in progress.
?Cervicitis. This is known as infection of the cervix. Bleeding during the infection would indicate prompt attention as this may progress to a chronic problem.
?Abortion or miscarriage. This is a common cause of vaginal bleeding. There are cases where after abortion, fetal parts are left that can cause for vaginal infection and bleeding.
?Infection. Sexually transmitted infection/s is a probable cause of metrorrhagia. Syphilis is known to cause vaginal bleeding. Those who have Lyme disease are prone to metrorrhagia as they become susceptible to infections.
?Hormonal imbalance. There are underlying conditions such as hyperthyroidism/hypothyroidism that cause hormonal imbalance.
?Coagulation problems. Women who have an underlying coagulation (blood clotting) problem such as those prone to bleeding are highly susceptible to metrorrhagia.
?Use of contraception. The use of devices that can traumatize the vaginal or uterine lining can cause bleeding. IUD is a common device to cause metrorrhagia.---------------------
So identify the cause of your problem from above factors and go for a ULTRASOUND ABDOMEN and consult a Gynaecologist for a Physical examination--------------------