Vaginal bleeding is a normal part of the menstrual cycle, but when the pattern changes, it can understandably cause concern. Abnormal vaginal bleeding refers to any bleeding that is unusual for you—whether that’s in timing, amount, or frequency. While there are many possible causes, it’s important not to ignore persistent or unexpected symptoms.
So, what counts as “abnormal”?
You may be experiencing abnormal bleeding if you notice:
In my clinical experience, many women are unsure whether their symptoms are significant, and often delay seeking advice. However, changes in bleeding patterns are one of the most important signs we assess in gynaecology, and early evaluation can make a real difference.
There are a number of possible causes of abnormal vaginal bleeding. Hormonal imbalances are one of the most common reasons and can occur at different life stages, particularly during perimenopause. Conditions such as polycystic ovary syndrome (PCOS) can also affect cycle regularity.
Structural causes within the uterus are another important factor. Fibroids (non-cancerous growths), polyps, or thickening of the womb lining can all lead to heavier or irregular bleeding. In some cases, conditions such as endometriosis or adenomyosis may also contribute.
Infections, including those affecting the cervix or uterus, can sometimes cause bleeding—particularly after intercourse. It is also important to consider cervical screening history, as changes to the cervix may present with abnormal bleeding.
For women who have gone through the menopause, any vaginal bleeding should always be assessed promptly. While there are often benign explanations, it is essential to rule out more serious causes.
It’s worth emphasising that abnormal bleeding is common, and in many cases, the cause is not serious. However, the key is identifying the reason behind the symptoms so that the right treatment can be offered. In my research and clinical practice, I often see that women feel reassured simply by having a clear diagnosis and a structured plan.
A consultation typically involves a detailed discussion of your symptoms, followed by appropriate investigations if needed, such as ultrasound scanning or further tests. The aim is always to provide clarity quickly and to tailor treatment to your individual needs.
If you are experiencing any changes in your bleeding pattern, it is important not to wait. Seeking early advice allows us to address concerns, rule out serious conditions, and help you feel back in control of your health.
If you would like to discuss your symptoms or arrange a prompt, discreet appointment, please contact our clinic.
By Miss Vishalli Ghai