Metrorrhagia - bleeding between periods

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List of pre-existing conditions: Inflammatory bowel syndorme. Rheumatoid arthritis, vertigo, low blood pressure
List of other diseases, conditions, or injuries and their treatment: #wrist, ribs, nose. Appendectomy 20 years ago. Tonsellectomy adeniodectomy 24 years ago
Have a diagnosis for the current condition: no
Current medical status: (Unable to enter LMP previously - 24-1-08) Intermenstural bleeding for 4 months with cramping pain and pressure requiring pads starts on day 10 of cycle (have 32 day cycle) and continues for approx 10-15 days. Had pelvic ultrasound -ve. FBC - hgb 10.2 with other associated things low ie MCV. ESR 17. Biochemistry and TFT normal. Normally have very heavy periods requiring super plus tampons and night time pads use whole packs each month. Periods would also be very painful, I use ibuprofen and TENS machine for the pain. Period lasts for 5 days have been prescribed cyklokapron for this reduced flow slightly but not significantly. GP has made a referral to a gynaecologist but earliest appointment is the 6th March. Bleeding is increasing and pain/pressure is getting worse
Current medical treatment: Nil. Betahistime PRN. Diclofenic PRN. Movicol PRN



Vaginal bleeding between menstruation is called metrorrhagia. Metrorrhagia is a type of pathological bleeding and a sign of some type of disorder. The low hemoglobin readings are probably due to this kind of excessive bleeding from the vagina.

Metrorrhagia can be either functional or organic in nature. Functional metrorrhagia is due to a hormonal disorder in the endocrine axis of the hypothalamus-pituitary-ovaries. Functional bleeding is treated with oral contraceptives. Organic metrorrhagia is due to an organic disorder of the uterus such as: a myoma (benign tumor), polyp, infection, endometrial hyperplasia, etc. Only a gynecologist can identify the precise cause for this type of excessive bleeding. If you can’t wait until you schedule a regular appointment, you can ask for help in the ER.