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Vaginal Bleeding

Screening and Tests for Vaginal Bleeding

Screening for vaginal bleeding that is abnormal involves a physical examination including a pelvic exam. A thorough medical history records a number of factors critical to properly diagnosing the reason for vaginal bleeding, including:

  • Age
  • Date of last period and how long periods usually last
  • Number of days between periods
  • How heavy the periods have been
  • The use of birth control or estrogen supplements
  • Use of anticoagulant drugs or aspirin
  • Possibility of pregnancy
  • History of pregnancy or vaginal surgery or trauma
  • Recent vaginal or uterine infections
  • Any other symptoms

Tests for vaginal bleeding include:

  • Pelvic ultrasound
  • Pap smear
  • Endometrial biopsy
  • Urinalysis
  • Blood tests for complete blood count, thyroid function, iron levels and pregnancy

Locations for Vaginal Bleeding