Metrorrhagia
meh-tro-RAY-jee-ah
Definition
Metrorrhagia is irregular bleeding that occurs between menstrual periods. Unlike menorrhagia (heavy but regular bleeding), metrorrhagia describes unpredictable bleeding or spotting at irregular intervals unrelated to the normal menstrual cycle. It can range from light spotting to heavier breakthrough bleeding.
Why It Matters
Metrorrhagia may signal hormonal imbalances, anovulation, polyps, fibroids, cervical lesions, or medication side effects. Persistent irregular bleeding warrants medical evaluation to rule out serious conditions and identify treatable causes that can restore normal cycle patterns.
Related Conditions
Related Modalities
Frequently Asked Questions
Common causes include hormonal imbalances (especially low progesterone), ovulation spotting, uterine polyps or fibroids, cervical lesions, thyroid disorders, perimenopause, and hormonal contraceptive side effects. A thorough evaluation identifies the specific cause.
Seek medical evaluation for persistent irregular bleeding, especially if accompanied by pain, heavy flow, postmenopausal bleeding, or if it occurs with new medications. Early evaluation ensures appropriate diagnosis and treatment.

Dr. Sanika Kshirsagar, ND
Doctorate of Naturopathic Medicine (ND)
Bastyr University, Kenmore, WA
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