What is the reason for a small amount of blood flowing from the vagina when it is not the menstrual period?

Patient's question:

My girlfriend did not have her menstrual period, but there was a small amount of fresh blood flowing from her vagina, which was not like a normal menstrual period. It stopped the next day. She has some pain in her lower abdomen and waist, with the waist pain being more severe. She has not engaged in heavy physical labor (she has uterine fibroids).
Could you please explain what this could be and what tests are needed? When would be the best time to get checked?

Doctor's answer:

Hello, non-menstrual vaginal bleeding occurring between periods may be a case of ovulatory bleeding. It is recommended that you pay attention to hygiene and avoid spicy and irritating foods.
Medical Advice: This could be a symptom of ovulatory bleeding. A small amount of bleeding is usually not a problem and does not require treatment. However, if the bleeding lasts for a long time and does not stop, it could be due to endocrine disorders or inflammation. It is recommended to seek medical examination and treatment.

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