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Women’s HealthMenstrual HealthIntermenstrual Bleeding Treatment

Intermenstrual Bleeding Treatment Singapore

Bleeding between periods, also known as intermenstrual bleeding or spotting, can range from light staining to heavier flow resembling a period. While occasional spotting may be harmless, repeated or persistent bleeding often signals an underlying condition that requires medical review.

Within our medical group — which includes Asimont Clinic, Motherlove, Motherlove GP, and our dedicated gynaecology specialist clinic — women’s health doctors provide discreet evaluation and evidence-based care to help identify causes and support your long-term reproductive health.
Understanding The Condition

What is Intermenstrual Bleeding?

Intermenstrual bleeding refers to any vaginal bleeding that occurs outside your usual menstrual cycle. Triggers can be hormonal (e.g., contraception changes, thyroid imbalance), structural (polyps or fibroids), infectious (STIs, pelvic infections), pregnancy-related, or—less commonly—pre‑cancer/cancer of the cervix or uterus. Early assessment helps guide timely care and peace of mind.
When Bleeding Between Periods A Concern

When You Should See A Doctor?

Bleeding outside of your normal cycle may happen occasionally for benign reasons, but consistent or repeated spotting can point to a more serious underlying cause. You should consult a doctor if:

You experience bleeding between periods more than once

You experience bleeding between periods more than once

Recurring spotting may indicate hormonal imbalance or structural concerns.

The bleeding is heavy or lasts for several days

The bleeding is heavy or lasts for several days

Prolonged or excessive bleeding may require investigation.

The spotting is associated with pain or a foul-smelling discharge

The spotting is associated with pain or a foul-smelling discharge

May suggest infection, polyps, or other underlying conditions.

You are pregnant or think you may be

You are pregnant or think you may be

Any bleeding during pregnancy should be promptly evaluated.

Exploring Common Medical Reasons Behind Intermenstrual Bleeding

Possible Causes For Bleeding Between Periods

Common conditions linked to Intermenstrual Bleeding

Hormonal Imbalance

Fluctuations in estrogen, progesterone, or thyroid levels can cause spotting; changes in contraception may also trigger bleeding.

Pregnancy-related Causes

Spotting may indicate early pregnancy, miscarriage, or ectopic pregnancy, especially if accompanied by abdominal pain.

Infections

Sexually transmitted infections (STIs), pelvic inflammatory disease (PID), or vaginal infections may cause inflammation and irregular bleeding.

Abnormal Growths

Polyps, fibroids, or ovarian cysts can cause bleeding outside your period.

Cancer or Pre-cancer

Cervical or womb cancer may first present as spotting or irregular bleeding. Timely screening is critical.

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When This Evaluation Pathway May Be Appropriate

How Is The Intermenstrual Bleeding Evaluated At Our Affiliated Clincs?

This care pathway may be suitable if you are experiencing:

Repeated spotting or bleeding between periods

Frequent irregular bleeding may indicate hormonal or structural causes.

Bleeding after sex or persistent discharge/odour

May suggest infection, cervical changes, or underlying inflammation.

New bleeding after starting or changing contraception

Hormonal fluctuations may require adjustment or review of contraceptive method.

Fertility concerns alongside irregular bleeding

Disrupted cycles may affect ovulation and warrant further investigation.

Risk factors for thyroid disorders, PCOS, or known fibroids/polyps

These conditions often contribute to cycle irregularities or breakthrough bleeding.

Step-by-Step Care for Irregular or Intermenstrual Bleeding

Treatment Process

Private Medical Consultation
Step 1

Private Medical Consultation

Our doctor will review your menstrual history, contraceptive use, potential pregnancy, current medications, and overall medical background.

Physical & Pelvic Examination
Step 2

Physical & Pelvic Examination

A gentle speculum and bimanual exam will be performed to assess the cervix, vagina, and uterus for visible causes of bleeding.

Targeted Investigation (As Appropriate)
Step 3

Targeted Investigation (As Appropriate)

Based on clinical findings, your doctor may recommend:

• Pregnancy test to rule out early or ectopic pregnancy

• Vaginal/cervical swabs to check for infections or STIs

• Pelvic ultrasound to assess for fibroids, polyps, or ovarian cysts

• PAP smear and/or HPV test if cervical screening is due

• Blood tests for hormones, thyroid function, blood count, or other markers

Personalised Treatment Plan
Step 4

Personalised Treatment Plan

Your treatment may include:

• Hormonal therapy, such as oral contraceptives or progesterone for cycle regulation

• Antibiotics or antifungals for managing infections or pelvic inflammatory disease

• Procedure-based care, such as removal of polyps or targeted fibroid treatment

• Contraceptive method review or change if bleeding is method-related

• Urgent referral, if pregnancy complications (e.g., ectopic pregnancy) are suspected

Follow-Up & Monitoring
Step 5

Follow-Up & Monitoring

Your doctor will review test results, adjust treatment as needed, and arrange ongoing cycle tracking or preventive screening for continued care.

Confidential & Compassionate Care At Asimont Clinic

All intermenstrual bleeding consultations across our medical group are conducted by trained women’s health professionals in a confidential and supportive environment. Care is guided by PHMC guidelines and MOH professional standards, and overseen by doctors registered with the Singapore Medical Council (SMC). Accredited under the SMC APOC framework, our team ensures ethical, safe, and evidence-based care — helping women understand their symptoms and receive tailored management with clarity and reassurance.

Frequently Asked Questions (FAQs)

Helpful Information Before Your Visit with Us

Occasional light spotting can be harmless, but repeated or heavy episodes should be assessed.

Yes. Spotting may occur in early pregnancy or with complications (e.g., ectopic). If pregnancy is possible, testing is recommended.

If you’re due—or if your doctor suspects cervical changes—PAP/HPV testing may be advised.

Yes, lifestyle changes can influence hormones and trigger light spotting. Persistent bleeding warrants evaluation.

Breakthrough bleeding is common in the first few months. If it persists, your method or dose may need adjustment.

It depends on the cause. Some cases resolve; others require treatment to prevent complications.

If you have severe pain, heavy bleeding (soaking pads hourly), dizziness/fainting, or positive pregnancy test with pain—seek immediate medical attention.

Schedule Your Appointment
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Have a question? Message us on WhatsApp, fill in the form, or send us an email — we’ll be happy to assist.
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