No menstrual period but experiencing bleeding - what could be the cause?

　　"Da Ma" refers to the menstrual period. Bleeding outside of the menstrual period may be caused by ovulation period bleeding, withdrawal bleeding, endocrine disorders, gynecological inflammation, endometrial lesions, uterine fibroids, etc. If abnormal symptoms occur, it is recommended to seek timely medical attention and receive professional treatment. Detailed analysis is as follows:

　　1. Ovulation period bleeding: During ovulation, due to a temporary decline in estrogen levels, part of the endometrium sheds because of lack of estrogen support, causing regular vaginal bleeding. This kind of bleeding usually is light and short in duration and generally does not require special treatment, as it can recover on its own. It is recommended to pay attention to personal hygiene and keep the vulva clean and dry during this period.

　　2. Withdrawal bleeding: If emergency contraceptive pills or other similar drugs are taken, the drug may cause endometrial shedding, leading to withdrawal bleeding. This kind of bleeding typically occurs about a week after stopping the medication, with light flow, and generally does not require specific treatment, as it stops on its own. It is recommended to keep warm, avoid getting chilled, and ensure adequate sleep and rest during this period.

　　3. Cervicitis: Cervicitis is an inflammation of the cervical vaginal portion and cervical canal mucosa, which may cause vaginal mucosal congestion and edema. Bleeding may occur when the area is stimulated. This kind of bleeding may be accompanied by symptoms such as increased vaginal discharge, odor, and itching. Doctors generally recommend treatment with medications such as tetracycline hydrochloride capsules, cefuroxime axetil tablets, and cefixime dispersible tablets. At the same time, it is important to maintain cleanliness and dryness of the vulva, and avoid excessive or overly vigorous sexual activity.

　　4. Endometrial polyps: Elevated estrogen levels and aging may cause endometrial polyps to grow, which may bleed due to friction or infection. This kind of bleeding may be accompanied by abdominal pain, irregular menstruation, and other symptoms. As recommended by a doctor, small polyps can be treated via hysteroscopic electroresection, while larger polyps may require surgical removal.

　　5. Uterine fibroids: Uterine fibroids are benign tumors formed by the proliferation of uterine smooth muscle tissue, which may lead to symptoms of bleeding outside the menstrual period. This kind of bleeding may be accompanied by symptoms such as abdominal pain and abdominal masses. As recommended by a doctor, small fibroids can be managed by observation and conservative treatment, while larger fibroids may require surgical removal, such as hysteroscopic myomectomy.

　　In daily life, women should maintain regular作息, balanced diet, appropriate exercise, etc., to prevent the occurrence of gynecological problems.