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Why Am I Bleeding 2 Weeks After My Period? – Knix
Some people experience a menstrual cycle that is on average 28 days long, which means (roughly) monthly periods. The first day of your cycle is counted from the first day of your period. If you’re bleeding 14 days after your last period, it could be that you have a shorter abnormal menstrual cycle. Or, it could be non
Why Am I Bleeding 2 Weeks After My Period?
JANE FLANAGAN / YOUR BODY
Some people experience a menstrual cycle that is on average 28 days long, which means (roughly) monthly periods. The first day of your cycle is counted from the first day of your period.
If you’re bleeding 14 days after your last period, it could be that you have a shorter abnormal menstrual cycle. Or, it could be non-period bleeding. Let’s explore!
What Could Cause Bleeding Between Periods?
The average adult menstrual cycle is 32 days long. But that doesn’t mean that everybody’s cycle runs like clockwork. Some of us have shorter or longer cycles. And some women have very irregular periods.
Also, it’s worth noting that even if your cycle is around the commonly referenced 28 days, most calendar months are slightly longer. This means your period won’t begin on the same date every month and, over time, may shift to an entirely different time of month.
The combination of:
A menstrual cycle range less than every 31 days, plus
A period that falls at the start of one month
could result in two periods occurring within the same calendar month.
A shorter or irregular menstrual cycle may be caused by:
Anovulation: The lack of ovulation—when your ovary releases a follicle (oocyte)—in a menstrual cycle
Endocrine abnormalities like, hyperthyroidism or hypothyroidism: An abnormally functioning thyroid may cause an abnormal menstrual cycle, including absent, heavy, irregular, or erratic periods
Is Vaginal Bleeding Really a Second Period?
Every 21 to 35 days, a new reproductive cycle starts as the uterus sheds its lining and menstruation occurs. Period flow can last anywhere from a few days to a week and can range from light to heavy.
But if you’re bleeding 14 days after your last period, don’t jump to the conclusion that it’s necessarily a second period. There are many possible reasons for uterine or vaginal bleeding between periods, a phenomenon called intermenstrual bleeding.
It’s definitely worth noting uterine or vaginal bleeding is occurring and understanding whether you’re spotting or experiencing heavy bleeding.
In general, spotting would mean a few drops of blood on your underwear or toilet paper with wiping. You might want to wear a panty liner or Leakproof Underwear, but you don’t require a tampon or pad.
If you’re bleeding more heavily, to the point where you need a pad or tampon, it’s worth consulting a doctor to understand whether the bleeding is due to menses (a period) or another cause. Abnormal blood loss could be a cause for concern, as it could potentially result in, or exacerbate, anemia and/or be due to an underlying cause.
But what could those causes be? Given the specific timing of the question, it could be ovulation.
A Potential Cause: Ovulation
Your ovary releases a follicle (oocyte) each month, around days 13–15 of a 28-day menstrual cycle. After the oocyte is released from the ovary (ovulation), it moves into the fallopian tube.
For many women, the days around ovulation go completely unnoticed. But for some, ovulation is an event they may feel and notice due to other associated symptoms. One of those symptoms could be, light spotting.
During reproductive ages, the ovary releases an oocyte every month. This event occurs when a dominant ovarian follicle ruptures and releases an oocyte. After ovulation, the oocyte moves through the fallopian tube for 12-24 hours, waiting to be fertilized.
Rupture of a dominant ovarian follicles can cause some light spotting and some women can even feel it happen in the course of their normal menstrual cycle.
That feeling usually manifests as a slight twinge or pain on one side of your abdomen. This pain is called mittelschmerz. It translates literally as “middle pain”. It’s the name for the slight twinge or cramp that some women may experience when the follicle releases the egg roughly 13-15 days before their next period starts.
While it can be uncomfortable for some, mittelschmerz can often be treated with over-the-counter pain relievers and home remedies, according to the Mayo Clinic.
Learn More About What Happens When You Ovulate
The best way to understand whether your bleeding may correspond with ovulation is to track your cycle using an app or diary.
If you’re experiencing vagina or uterine bleeding outside of ovulation, there are many other possible causes. Tracking when spotting occurs is important, so you can share these details with your doctor if necessary.
Other Causes of Abnormal Vaginal Bleeding
Below is a list of the most common reasons you might be bleeding or spotting between periods. While this list is not exhaustive, it does cover common causes, including birth control methods and other causes.
Birth Control Causes
Birth control pills: According to Medical News Today, irregular bleeding between periods can occur in the first 6 months of taking a new birth control pill, or switching between birth control pills. Doctors sometimes refer to this as breakthrough bleeding. Usually light red or reddish-brown, the blood tends to look similar to that at the start or end of a period.Morning-after pill: According to the Mayo Clinic, the morning-after pill can cause bleeding between periods or heavier menstrual bleeding. Spotting or light bleeding can occur up to 1 month after taking emergency contraception to prevent pregnancy, although most people who take the morning-after pill do not experience bleeding between periods.
Bleeding between periods
Vaginal bleeding between periods is not unusual, but should be checked by your doctor if it happens more than once or twice.
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Bleeding between periods
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Vaginal bleeding between your periods is not uncommon, but it should be checked by your doctor if it happens more than once. You should also go to your doctor if you bleed after sex.
If you are bleeding very heavily or you feel faint or that you might pass out, call triple zero (000) immediately and ask for an ambulance. If calling triple zero (000) does not work on your mobile phone, try calling 112.
What is bleeding between periods?
After puberty and before menopause, women experience normal vaginal bleeding each month during their menstrual period. Normal vaginal bleeding, or a “period”, varies widely between women and can be different for you at different stages of your life. Generally, all women experience a menstrual period around once a month, approximately every 21 to 35 days, and it can last anywhere between 1 and 7 days.
Bleeding between periods is any vaginal bleeding that occurs outside of a normal period. Bleeding between periods may be similar to a normal period, may be heavier with a larger blood loss, or may be a very light blood loss (also known as “spotting”). Bleeding between periods may be once off or may last for a number of days.
What can cause bleeding between periods?
There are many things that could cause bleeding between periods, such as changes to your hormones levels, use of hormonal contraception or contraceptive devices, an infection, or an injury.
Other causes of bleeding between periods may include:
polyps (growths) in your uterus or cervix
inflammation of your cervix
abnormalities in the cervix or uterus
an ectopic pregnancy or the start of a miscarriage
Changes to your hormone levels
Young women often spot, or bleed very slightly, when they ovulate (release an egg from the ovary). It happens about 10 to 14 days after their period and is usually caused by a temporary drop in levels of the hormone oestrogen. This is quite normal.
As well as reduced oestrogen levels, you may also experience other hormonal imbalances, which are completely harmless. This could be as a result of stress, or a recent change of diet.
Girls who have just started their periods and women going through menopause are more likely to have irregular periods, which can be confused with bleeding between periods.
Your doctor may organise a blood test to investigate your hormone levels and will advise you on possible treatments.
Use of hormonal contraception
Bleeding between periods often happens when you start to take hormonal contraceptives. This is because your hormone levels drop. It is also called breakthrough bleeding, and usually happens about 2 weeks after your last period.
Breakthrough bleeding should stop after 1 or 2 months. Your periods will usually become more regular within 6 months. Bleeding between periods can also happen if you forget to take one of your oral contraceptive pills.
However, if bleeding occurs at other points during your menstrual cycle, you should consult your doctor in order to rule out the possibility of other conditions.
Hormonal contraceptives such as hormone containing intra-uterine devices (IUDs) contraceptive injections or rods can also cause breakthrough bleeding or irregular periods. Sometimes this may be because the device isn’t inserted properly, especially if it’s also painful. Check with your doctor as they may be able to give you medicine to control the bleeding and rule out other causes, like an infection.
Infections and injury
Vaginal bleeding between periods may be the result of an infection in the vagina, cervix or uterus. Some sexually transmitted infections, like chlamydia or gonorrhoea, can cause bleeding. A yeast infection, or vaginal thrush, can also cause vaginal irritation and bleeding.
An injury to the vulva, vagina or cervix can cause bleeding between periods. Injuries can result from a variety of methods, including from rough sexual activity or incorrectly inserting or removing something into the vagina, like a tampon.
Changes to the cervix
Bleeding between your periods may be caused by changes in the cells of your cervix. This may be due to inflammation, hormonal changes, a Human Papilloma Virus infection or cervical cancer. If you have bleeding between your periods, your doctor will be able to examine your cervix using a speculum and can take a sample of cells for a cervical screening test.
Sometimes bleeding between periods is caused by endometriosis, a problem with the lining of the womb. It can also cause heavy bleeding, irregular bleeding, painful periods and longer periods than normal.
Endometriosis is common and it can make it difficult to get pregnant. If you think you may have endometriosis, talk to your doctor as there are many different treatments available.
Vaginal bleeding may occur during certain fertility procedures — for example, during the egg collection stage of IVF treatment. Usually it is mild to moderate bleeding with some cramping. However, if you experience heavy bleeding, you should contact your fertility clinic or doctor for advice
When should I see my doctor?
Bleeding between periods is common — in fact, it happens to most women at some point during their lives. However, it is not considered normal to bleed frequently in one month, or to bleed between your periods for several months. Bleeding after having sex should always be discussed with your doctor. There are many possible causes for bleeding between periods and a lot of them aren’t serious, but you should speak to your doctor if you bleed between periods as it can occasionally signal something serious.
Bleeding or Spotting Between Periods: Causes and Concerns
Bleeding or spotting between periods is common and has a variety of causes. Here's what to know about why it happens and when to call your doctor.
What You Need to Know About Bleeding Between Periods
What You Need to Know About Bleeding Between Periods And when to seek medical care
By Tracee Cornforth Updated on December 16, 2021
Medically reviewed by Monique Rainford, MD
Table of Contents VIEW ALL What Spotting Is Normal Bleeding
Causes of Spotting and Light Bleeding
When to See a Healthcare Provider
Bleeding or spotting between your regular monthly periods is not uncommon, but it can be alarming. You may see just a spot or two of blood on your underwear or toilet tissue, or you may be bleeding as if you have started your period.
Most of the time, there is no reason to worry. In some cases, though, bleeding or spotting between periods can signal a more serious problem.
This article explains common causes of bleeding or spotting between periods and when to call your healthcare provider.
Types of Bleeding Between Periods
Here are the different types of bleeding that can occur between your periods.Spotting: This is when there's just a red tinge on the toilet paper or a drop or two of blood in your underwear.1 Medically, it's only considered spotting if it's not during your period and doesn't require you to use a pad or tampon.Light bleeding: This type of bleeding occurs just before or after your period and isn't technically spotting—it's considered part of your period.Breakthrough bleeding: Breakthrough bleeding is when bleeding occurs between your periods if you are taking oral contraceptives. It's usually caused by low estrogen levels.Abnormal bleeding: This describes any heavy bleeding (requiring the use of a tampon or pad) outside of your cycle that isn't due to hormonal birth control pills. It is often called abnormal uterine bleeding or abnormal vaginal bleeding.2
Normal Menstrual Bleeding
Normal menstrual bleeding lasts for about five to seven days. The average cycle occurs every 28 days, but anywhere between 21 to 35 days between periods is considered normal.3
Most women get to know their own cycles after a few years of menstruating. Although it may seem like you are losing a lot of blood, it usually only adds up to between 2 and 8 tablespoons.
About 14 days after the start of your period, your ovaries release an egg. This is called ovulation. Some people notice spotting during ovulation, which can be normal but should be discussed with your healthcare provider. If the egg is not fertilized, a period starts approximately two weeks after ovulation, and the uterine lining is shed.
Verywell / Jessica Olah
Causes of Spotting and Light Bleeding
Some of the more common causes of spotting or bleeding between periods include:
There are several reasons bleeding or spotting might occur during pregnancy:
Implantation bleeding: Spotting may occur at the time the fertilized egg implants in the uterus and begins to grow.
Miscarriage: Bleeding in early pregnancy, especially if it's heavy, may mean that you've had a miscarriage.4
Ectopic pregnancy: This occurs when a fertilized egg implants outside of the uterus. One of the signs is vaginal bleeding. An ectopic pregnancy can be an emergency.5
Abortion: Bleeding can occur after terminating a pregnancy using medication or having an abortion procedure.6
Spotting and bleeding can occur in women who use these types of birth control:
Oral contraceptives: Starting, stopping, or missing oral contraceptives (birth control pills) can lead to spotting or bleeding.7
Other hormonal birth control methods: Irregular vaginal bleeding might be seen when using the contraceptive patch, implant, or injection.8
Intrauterine devices (IUDs): Intrauterine devices are known to cause occasional spotting.9
Bleeding may be seen in conditions that affect your hormones, such as:
Thyroid disease that results in either low or high thyroid hormone levels
Polycystic ovary syndrome (PCOS), a hormone imbalance that affects ovulation10
Perimenopause, leading to vaginal dryness or atrophy11
The following infectious diseases that may cause bleeding include:
Vaginal, cervical, and uterine infections and inflammatory conditions
Sexually transmitted infections including chlamydia,12 gonorrhea, and genital warts
Pelvic inflammatory disease
Other possible causes of spotting and bleeding include:
Endometriosis (abnormal growth of uterine tissue outside the uterus)
Injury to the vagina from the insertion of foreign objects or sexual trauma
Uterine fibroids (noncancerous growths in the uterus)13
Malignant cancers, including cervical cancer, uterine cancer, uterine sarcoma, ovarian cancer, and vaginal cancer
Certain drugs, particularly anticoagulants (blood thinners) and tamoxifen
Certain gynecological procedures (including a Pap smear)
Urethral prolapse or polyps14
There are many possible causes of spotting or bleeding before or after your period. These include hormonal birth control methods (such as the contraceptive pill), a sexually transmitted infection, or PCOS. Less commonly, serious causes like cancer or an ectopic pregnancy can be the cause.