Abnormal Bleeding Can Have Many Causes

Many conditions can cause abnormal bleeding in women, and it can occur at any age.  It is common for women to have irregular bleeding when they first start their period, typically between ages 9 - 14; and during perimenopause, usually beginning in the mid-40s.

Bleeding or spotting between periods or after sex, heavy bleeding during menstruation, and bleeding after menopause are all considered abnormal or irregular.

A normal menstrual cycle lasts between 24 and 38 days, with menstrual periods lasting up to eight days. Bleeding outside of that time frame is considered to be abnormal or irregular, and can have multiple causes, such as:

  • Problems ovulating
  • The existence of fibroids or polyps
  • Endometriosis
  • Complications from birth control methods such as IUDs and birth control pills
  • Miscarriage
  • Ectopic pregnancy
  • Types of cancer


It is helpful to track your menstrual cycle and any unusual bleeding you experience to share with your healthcare provider to help diagnose the problem. Some tests that can help diagnose the cause include a physical exam, blood test, pregnancy test or test for sexually transmitted diseases. Ultrasound exams, MRIs, and CT scans are other tests available to help discover the problem.

Hormonal birth control methods, anti-inflammatory drugs, antibiotics, and other special medications may be used to treat the condition.  If medications don't help surgery might be an option. Hysterectomy and uterine ablation are surgical options that can treat the problem.

This information was provided by the American College of Obstetricians and Gynecologists, for more information click HERE.


The providers at Sandpoint Women's Health diagnose and treat conditions causing abnormal bleeding.

Call 208-263-2173 to make an appointment with one of our highly skilled providers or click the button below to request an appointment.