· Changes in hormonal balance. Changes in the menstrual cycle due to hormonal changes (balance between progesterone and estrogen).These changes are especially common during perimenopause.
· Calendar. If your bleeding occurs at the time of ovulation (from ten to fourteen days after the start of your last period), this is due to increased estrogen in your body at that time. Bleeding may also occur during the implantation of a fertilized egg in the uterine lining. Bleeding that occurs a few days before menstruation is due to low levels of progesterone. This is usually not a problem but if bleeding occurs regularly, better consult your doctor because there is a risk of infertility or miscarriage during pregnancy. Bleeding that appear at other times are rather unusual.
· Mittelschmerz. Mittelschmerz is the German word for “middle pain” and described the pain that accompanies ovulation mid cycle.Typically, pain occurs in the lower abdomen, from 10-14 days after the first day of your last period. If you have these pains along with a small amount of bleeding, you’re definitely about to ovulate. These pains are not dangerous and quite practical to know at what point in your cycle you are.
· Other possible causes. The hormonal balance of women may also be influenced by the following things:
• Loss or weight gain
• Change of diet
• Excessive consumption of caffeine or alcohol
• Excessive exercise
• Smoking or drug
• Childbirth, breastfeeding, miscarriage
• Cists, polyps, endiométrie
• Changes or medication
• Anorexia or bulimia
If you have recent experience of one of the above conditions, chances are that your hormones are imbalanced and your bleeding temporarily prove it.
· Cortisol. The effect of stress deserves a supplementary note. Cortisol is released by our adrenal glands when we are under stress and cortisol directly affects the estrogen, progesterone and DHEA. If you are very stressed, try to relax more often with yoga, meditation, exercise or other means.
· Abundance. Another way to assess your bleeding is to observe whether or not abundant. Normally, you should have a few spots of blood. If your stains persist or if you have real bleeding for several days, consult your doctor.
· Pill. Bleeding may occur during the first cycle of taking a new pill or when you forget to take it. Things usually improve by the end of the third cycle. If you have bleeding heavier than a few spots, it means that your pill does not contain enough hormones for your system. In this case, be careful because it may not protect you against pregnancy. Talk to your doctor.
· Polikystiques ovary syndrome. If you have excessive bleeding, this may be a symptom of ovarian cysts. Between 5-10% of women of childbearing age suffer from polycystic ovary syndrome polikystiques.