Vaginal Bleeding Between Periods
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Vaginal Bleeding Between Periods

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Abnormal vaginal bleeding, also known as intermenstrual spotting, metrorrhagia, and bleeding, occurs between regular period. This abnormal bleeding may result from different conditions and abnormalities in the body.

Some causes of intermenstrual spotting are easy to treat, but others may result from a serious underlying condition. It is important to schedule an appointment with your doctor for an examination, diagnosis and treatment if you experience heavy bleeding or spotting between your periods.

Some common causes of vaginal bleeding between periods include:

  • Stress
  • Miscarriage
  • Cancer
  • Growth in the cervix or uterus
  • Change in medication
  • Vaginal dryness
  • Hormonal imbalance

Causes of spotting or heavy vaginal bleeding between periods

Experiencing bleeding between your periods is not a normal occurrence. On average, the menstrual cycle lasts between 21 – 35 days. Normal vaginal bleeding usually occurs for some days or one week in the initial period of each menstrual cycle, so any vaginal bleeding after this period is abnormal and may result from any of these.

  • Hormonal imbalance

Two hormones, progesterone and oestrogen, regulate the menstrual cycle. If these two hormones are not balanced, you may experience spotting. Irregular oestrogen and progesterone levels may result from thyroid gland problems, dysfunctional ovaries, starting or stopping birth control pills.

Spotting during ovulation also results from abnormal hormonal changes, and when you start a hormonal contraceptive, you will likely experience abnormal bleeding within the first three months.

Contraceptives like birth control pills, IUD, patch, implant or injection usually cause abnormal bleeding in the first few months of using them.

  • Pregnancy complications

If you have a complication during pregnancy, it could result in spotting. Complications such as ectopic pregnancy and a miscarriage can cause abnormal bleeding.

In an ectopic pregnancy, the fertilised egg gets implanted in the fallopian tube instead of the uterus. Experiencing spotting during pregnancy may indicate a miscarriage, so ensure you contact your doctor if you notice vaginal bleeding during pregnancy.

  • Uterine fibroids

These are noncancerous growth in the uterus, mostly affecting women who have not given birth.

  • Infection

You may experience vaginal bleeding between periods if you have a reproductive organ infection. Infections in the reproductive organs usually cause bleeding and infection. This may occur due to a sexually transmitted infection, pelvic inflammatory disease, intercourse and vaginal douching.

  • Cancer

Cancer is a less common cause of vaginal bleeding. You may experience vaginal bleeding if you have cancer of the vagina, uterus, cervix, and ovaries.

  • Rare causes

Possible but rare causes of vaginal bleeding include extreme stress, thyroid disorder, diabetes, significant weight loss or gain, and inserting an object in the vagina.

When you should get medical help

Consult your doctor whenever you experience vaginal bleeding because it could be a sign of a serious medical condition. If you experience vaginal bleeding and any of these symptoms, ensure you seek emergency medical care.

  • Fatigue
  • Fever
  • Dizziness
  • Pain

You can book a private gynaecologist in London at www.gynae-clinic.co.uk to get a diagnosis and treatment for vaginal bleeding between periods or contact us today on 020 7183 1049 to schedule an appointment.

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Ramen, Japan

Madison Franz

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Ramen is a popular Japanese dish that consists of Chinese-style wheat noodles served in a flavorful broth, typically topped with various ingredients such as sliced pork, green onions, seaweed, eggs, and bamboo shoots.  It has become a beloved and iconic part of Japanese cuisine.

Ramen originated in China and was introduced to Japan in the late 19th century. Over time, it underwent significant modifications and adaptations to suit Japanese tastes, leading to the development of various regional styles and flavors. Today, ramen is enjoyed throughout Japan and has gained international popularity as well.

Each region in Japan has its own distinct style of ramen, characterized by differences in the broth, noodles, and toppings. Some of the most well-known ramen styles include:

1. Tokyo Ramen (Shoyu Ramen): This style features a soy sauce-based broth that is typically clear and light. The noodles are thin and firm, and the toppings may include chashu (sliced pork), menma (fermented bamboo shoots), and nori (seaweed).

2. Sapporo Ramen (Miso Ramen): Originating from the northern city of Sapporo, this style features a rich and hearty miso-based broth. The noodles are usually thick and curly, and the toppings often include butter, corn, and bean sprouts.

3. Hakata Ramen (Tonkotsu Ramen): Hailing from the southern city of Fukuoka, Hakata Ramen is known for its creamy and milky tonkotsu (pork bone) broth. The noodles are thin and firm, and the toppings commonly include sliced pork belly, green onions, and pickled ginger.

4. Kitakata Ramen: This style comes from the city of Kitakata and is characterized by its soy sauce-based broth that has a slightly sweet and salty flavor. The noodles are thick, flat, and curly, and the toppings often include chashu, menma, and green onions.

These are just a few examples, and there are many more regional variations of ramen across Japan. Ramen shops, known as ramen-ya, can be found throughout the country, ranging from small local establishments to large chains. People often line up to enjoy a steaming bowl of ramen, especially during colder months.

Ramen has also gained global popularity, and you can find ramen restaurants in many major cities around the world. It has become a culinary symbol of Japanese cuisine, loved for its comforting and delicious flavors.

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