Definition - What does Metrorrhagia mean?

Metrorrhagia is intermittent bleeding between menstrual periods. While metrorrhagia itself is not an illness, irregular menstrual bleeding may indicate illness or conditions that impact a woman's reproductive health or ability to become pregnant. Metrorrhagia is not related to typical spotting that occurs immediately prior to or following a menstrual period, and instead refers to bleeding that occurs in the three to four weeks between menstrual cycles.

FertilitySmarts explains Metrorrhagia

Metrorrhagia may be caused by a wide variety of conditions. These include:

  • Hormonal imbalance
  • Uterine or cervical polyps
  • Uterine fibroids
  • Uterine, cervical, or vaginal infections
  • IUD or birth control pills
  • Endometriosis
  • Menopause
  • Illness including diabetes, thyroid conditions, or blood clotting disorders
  • Stress
  • Certain cancers

To diagnose metrorrhagia, a variety of physical examinations and testing may occur. Initially, a physical exam and pelvic exam are required. Some information may be asked including a daily tracking of whether or not bleeding was present. Additionally, blood testing is standard for a preliminary diagnosis. Other testing may include:

  • Biopsy of the uterine lining.
  • Ultrasound of the uterus.
  • Hysteroscopy (a small camera inserted into the uterus).

Treatment of metrorrhagia is based on the diagnosed cause of the condition. Treatment may include hormone replacement therapy, medication changes, removal of an IUD, or birth control adjustments.

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