Vaginal bleeding in women outside of their menstrual period, what should be done

Patient's question:

Vaginal bleeding in women outside of their menstrual period, what should be done?

Doctor's answer:

Hello, the menstrual cycle of women is regulated by the hypothalamic-pituitary-ovarian-gonadal axis. Factors such as mental stress, emotional fluctuations, environmental changes, pregnancy, age, diseases, medications, and nutritional status can all cause dysfunction of this gonadal axis, leading to menstrual irregularities. The menstrual period generally lasts about 3 to 7 days. It is normal for menstruation to be slightly early or delayed by about one week. If menstruation is delayed by more than 10 days, it is necessary to visit a gynecological department in a hospital for appropriate examinations to confirm the diagnosis.

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