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Unexpected Vaginal Bleeding

Unexpected vaginal bleeding is bleeding that occurs outside an expected menstrual period or before puberty. The amount can range from spotting to heavier bleeding.

Hormonal changes, irregular periods, infection, injury, medicines and pregnancy-related conditions can cause unexpected bleeding after puberty. Bleeding before puberty has different causes and always requires medical evaluation.

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AAP Guide to Unexpected Vaginal Bleeding

The AAP guide below explains what to track and which bleeding needs prompt care.

AAP Symptom CheckerUnexpected bleeding

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Symptom CheckerUnexpected bleeding New tab

When to see a doctor

Contact your pediatrician or another healthcare professional if:

  • Any vaginal bleeding occurs before puberty.
  • Bleeding is heavy, persistent or keeps returning unexpectedly.
  • Bleeding comes with pain, fever or injury.
  • Pregnancy is possible.

Call 911 or get emergency care if:

  • Bleeding is extremely heavy.
  • Your child becomes faint, very weak or has severe abdominal pain.
  • You think there is a life-threatening emergency.

Talk to a nurse now, at any hour

When can my child be seen

Be seen today.

Every office keeps same-day appointments for illness and injury.

This evening or at the weekend.

Most offices run After Hours Care, by appointment rather than walk-in.

If you are worried, call. We would rather answer a question that turns out to be nothing.

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