What may increase your risk for a problem from vaginal bleeding?


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What may increase your risk for a problem from vaginal bleeding?


Many conditions, lifestyle choices, medicines, and diseases interfere with your ability to heal or fight infection. You may be at risk for a more serious problem from your symptoms if you have any of the following. Be sure to tell your health professional.

Conditions

  • Younger than age 10
  • Have completed menopause
  • Pregnancy. Vaginal bleeding during early pregnancy may indicate a serious problem, such as an ectopic pregnancy or miscarriage. Later in pregnancy, bleeding may indicate a problem with the placenta.
  • Intrauterine device (IUD) in place
  • A recent abnormal Pap test
  • Recent gynecologic procedures or surgery
  • History of surgery to remove the spleen

Lifestyle choices

  • Alcohol abuse or withdrawal
  • Drug abuse or withdrawal
  • Engaging in high-risk sexual practices

Medicines

  • Anticoagulant medicines such as aspirin, Coumadin, and nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Antiseizure medicines, such as Dilantin or Depakote
  • Corticosteroids, such as prednisone
  • Hormonal medicines, including:
    • Birth control pills, Depo-Provera injections, and Implanon implants
    • Contraceptive implants, such as the levonorgestrel intrauterine device (IUD) Mirena
    • Hormone replacement therapy (HRT)
  • Medicines to prevent organ transplant rejection
  • Medicines used to treat cancer (chemotherapy), such as Cytoxan or tamoxifen
  • Radiation therapy
  • Steroids, such as prednisone
  • Thyroid medicine, such as Synthroid or Levothroid
  • Dilantin
  • Antipsychotics
  • Tricyclic antidepressants

Diseases

  • Adrenal disease, such as Addison's disease or Cushing's disease
  • Bleeding disorders, such as idiopathic thrombocytopenic purpura (ITP), hemophilia, or von Willebrand's disease
  • Cancer of the cervix, uterus, or vagina
  • Current and prior pelvic infections (pelvic inflammatory disease)
  • Diabetes
  • Endometriosis
  • Human immunodeficiency virus (HIV) infection
  • Inflammation of the cervix (cervicitis)
  • Kidney failure
  • Leukemia
  • Liver disease
  • Ovarian cysts
  • Pituitary disease
  • Sickle cell disease
  • Thyroid disease
  • Uterine fibroids

Credits


Author Jan Nissl, RN, BS
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Tracy Landauer
Primary Medical Reviewer Kathleen Romito, MD - Family Medicine
Specialist Medical Reviewer Kirtly Jones, MD - Obstetrics and Gynecology
Last Updated July 11, 2007

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Last updated: July 11, 2007
Author: Jan Nissl, RN, BS
Reviewed By: Kathleen Romito, MD - Family Medicine, Kirtly Jones, MD - Obstetrics and Gynecology
Editors: Susan Van Houten, RN, BSN, MBA, Tracy Landauer

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