In recent months, intermittent dark red blood about 10 days before menstruation

Patient's question:

In recent months, intermittent dark red blood has appeared about 10 days before menstruation, with little amount until menstruation arrives. How should it be treated and what medication should be taken? First follow-up question: Additionally, there is slight itching in the external genitalia, with no symptoms after cleaning each time. The discharge is watery and slightly yellow. Second follow-up question: It has been like this for three consecutive months, with little amount~ stopping after menstruation, and then happening again next month~ How should it be treated and what medication should be taken?? Urgent!!! Third follow-up question: Is it something like an uterine cyst~~~ uterine polyp~~~ uterine tumor ???

Doctor's answer:

Hello, bleeding occurs between two menstrual periods, which is medically known as "breakthrough bleeding." It's nothing to worry about if this happens occasionally, as it is usually caused by a slight drop in estrogen levels in the middle of the month. However, if the bleeding persists for several months and the amount increases with each occurrence, it's essential to see a doctor.

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