- How long have you experienced bleeding between periods? Does it happen every month or is this the first time? What day during your menstrual cycle does the bleeding begin? How long does it last?
- Do you experience menstrual cramps when irregular bleeding occurs? How heavy is the bleeding? How may pads or tampons do you need?
- Does anything make bleeding worse? Does anything make it better? Is bleeding worse with increased physical activity? Are you experiencing an increase in stress?
- Do you have any other symptoms such as pelvic pain, increased bruising, difficulty swallowing, pain or burning during urination? Is there blood in your bowel movements or urine?
It's also important to advise your physician if you are pregnant or have had a recent miscarriage or abortion. If you have had a D&C, your physician should know this as well. Remember to inform your physician about any prescription or over-the-counter medications (including herbal supplements) that you are taking. The type and size of tampons can sometimes be a helpful clue to help your physician to determine the cause of metrorrhagia. Your physician will also ask you how old your were when you started having periods, if you are sexually active, and whether you have experienced bleeding between periods in the past. If you have experienced any injuries, or had medical or surgical treatments, this is also important to tell your physician.
If you are currently using oral contraceptives your physician should be aware of this: bleeding between periods can sometimes be caused by something as simple as not taking birth control pills at the exact same time each day.
Be prepared to answer these questions when you visit your physician. The treatment your physician prescribes will depend, to a large extent, on your answers to his questions, as well as the findings of your pelvic exam and/or other tests he orders.
