Hi, welcome to the ehealth forum and I am glad to help you.
You seem concerned with abnormal vaginal bleeding for the last 3 weeks which is not bleeding like a period but comes out when you go to the urinal.
First thing is to make sure that the bleeding is coming from the vagina and is not from the rectum or in the urine. You can insert a tampon into your vagina to confirm that the source of your bleeding is coming from the area of your vagina, cervix, and uterus. The usual causes of abnormal vaginal bleeding at your age include menstrual irregularities due to hormonal imbalance which can cause excessive vaginal bleeding.
When bleeding is not caused by your menstrual cycle, it is called abnormal or dysfunctional uterine bleeding. This is the most common cause of abnormal vaginal bleeding during a woman's childbearing years. Up to 10% of women may experience excessive bleeding but this is a diagnosis of exclusion when all other causes like trauma, infection and tumors have been ruled out.
In women of childbearing age (around18-40 years), the most common cause of abnormal uterine bleeding is pregnancy and its complications such as ectopic pregnancies or miscarriages. Pregnancy test is therefore a must in your case to rule out the same. Anovulation can be a cause of bleeding in women of childbearing age. However, anovulation occurs in fewer than 20% of women in this category, so all other causes, including pelvic inflammatory disease and uterine fibroids, must be ruled out.
Diseases of the female reproductive organs may cause bleeding.
You may have a harmless (not cancerous) sore (polyp or lesion) on your genitals that can cause bleeding.
Cancer of the vagina, cervix, uterus, and ovaries can cause bleeding. Ovarian cysts, cervicitis, endometritis, fibroids, vaginal infections, and other conditions can also cause excessive bleeding.
Certain drugs may cause bleeding, especially if you are taking anticoagulant drugs (drugs that prevent the blood from clotting).
You must visit your gynecologist who will conduct thorough examination and may run some tests to ascertain the final diagnosis as the same cannot be done online.
Hope this helps. Take care.
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