Vaginal Bleeding in Nonpregnant Teens: Care Instructions

Your Care Instructions

Many teens have bleeding or spotting between periods. A number of things can cause abnormal vaginal bleeding. Causes can include hormone problems, stress, ovulation, changes in weight, strenuous exercise, and some kinds of birth control. In these cases, if the bleeding is not heavy and occurs only now and then, there is probably no cause for concern. Rarely, infection, cancer, or other serious conditions can cause bleeding. You may need to have more tests to find the cause of your bleeding.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home?

• Be safe with medicines. Take pain medicines exactly as directed.

  • If the doctor gave you a prescription medicine for pain, take it as prescribed.

  • If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine. Do not take aspirin, which may make bleeding worse.

• If your doctor has prescribed birth control pills to help control your bleeding, take them as directed.

• You may be low in iron because of blood loss. Eat a balanced diet that is high in iron and vitamin C. Foods rich in iron include red meat, shellfish, eggs, beans, and leafy green vegetables. Talk to your doctor about whether you need to take iron pills or a multivitamin.

When should you call for help?

Call 911 anytime you think you may need emergency care. For example, call if:

Call your doctor now or seek immediate medical care if:

Watch closely for changes in your health, and be sure to contact your doctor if:

Current as of: November 27, 2023

Content Version: 14.0

Care instructions adapted under license by your healthcare professional. If you have questions about a medical condition or this instruction, always ask your healthcare professional. Healthwise, Incorporated disclaims any warranty or liability for your use of this information.