What are the causes of vaginal bleeding outside of menstruation?

Patient's question:

Doctor, I am 31 years old, female. I am married. Recently, I have been feeling very strange physically, which scared me. I have experienced broken skin in my vagina again outside of my menstrual period, which makes me very concerned. So, I want to ask what causes vaginal bleeding outside of the menstrual period?

Doctor's answer:

If you are referring to non-menstrual bleeding that occurs again during the mid-cycle of your menstruation, which is around days 14-17, it could be a manifestation of ovulation. A small amount of spotting during ovulation is a normal physiological phenomenon. As long as the bleeding is not excessive and the duration is short, it can be left untreated. If it does not occur during this period, it is likely caused by gynecological inflammation or endocrine issues.

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