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I sink in Blue- black Rose-heart holes until you blink. Pink lips, the serrate folds taste smooth, and Rosehip- round, the center bud I suck. I milknip your two Blue-skeined blown Rose beauties, too, to sniff their berries' blood, up stiff pink tips.
Vaginal Bleeding Between Periods
You're white in patches, only mostly Rose, buckskin and saltly, speckled like a sky. I love your spots, your white neck, Rose, your hair's wild straw splash, silk spools for your ears.
But where white spouts out, spills on your brow to clear eyepools, wheel shafts of light, Rose, you are Blue. May Swenson Water Picture In the pond in the park all things are doubled: Long buildings hang and wriggle gently. Chimneys are bent legs bouncing on clouds below. A flag wags like a fishhook down there in the sky. The arched stone bridge is an eye, with underlid in the water. In its lens dip crinkled heads with hats that don't fall off. Dogs go by, barking on their backs.
A baby, taken to feed the ducks, dangles upside-down, a pink balloon for a buoy. Treetops deploy a haze of cherry bloom for roots, where birds coast belly-up in the glass bowl of a hill; from its bottom a bunch of peanut-munching children is suspended by their sneakers, waveringly. A swan, with twin necks forming the figure 3, steers between two dimpled towers doubled. Fondly hissing, she kisses herself, and all the scene is troubled: water-windows splinter, tree-limbs tangle, the bridge folds like a fan.
Little Lion Face Little lion face I stopped to pick among the mass of thick succulent blooms, the twice streaked flanges of your silk sunwheel relaxed in wide dilation, I brought inside, placed in a vase. Outside links: For the convenience of our users, RadiologyInfo.
Toggle navigation. What is abnormal vaginal bleeding? How is abnormal vaginal bleeding evaluated? How is abnormal vaginal bleeding treated? Abnormal vaginal bleeding is bleeding from the vagina that occurs: between periods including spotting after sex during menstruation, but is heavier than usual or that lasts longer than usual, or more than seven days after menopause. To determine the cause of abnormal bleeding, your physician will perform a physical exam, including a pelvic exam, and may perform one or more of the following: blood tests, including a blood clotting profile hormone tests tests for sexually transmitted diseases a pregnancy test thyroid function tests Ultrasound of the pelvis to evaluate the uterus , cervix , ovaries , fallopian tubes and bladder.
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See the Ultrasound Imaging of the Pelvis page for more information. A transvaginal ultrasound, in which a small hand-held device is inserted into the vagina, produces pictures of the endometrium , or the lining of the uterine cavity, and the walls of the uterus, called the myometrium , as well as the ovaries. Sonohysterography , or ultrasound of the uterus, provides a more in-depth evaluation of the uterine cavity. In this minimally invasive procedure, a saline solution is injected into the uterine cavity to help visualize and measure the endometrium and to look for polyps or a mass of tissue.
This exam may also involve an injection of air to help determine if the fallopian tubes are open. Pelvic MRI is used after ultrasound to better visualize fibroids, cancer, or retained products of conception. Hysteroscopy involves inserting into the uterus a narrow lighted tube with an optical instrument or viewing device on the end to allow the physician to look for fibroids , polyps or other abnormalities.
Endometrial biopsy is used to remove and examine a small sample of tissue from the endometrium under a microscope to diagnose cancer or other causes of abnormal bleeding. The procedure, which may be performed as an office procedure alone or in conjunction with hysteroscopy , involves a suction or cutting device that removes a small piece of tissue from the uterus. Call or other emergency services now. There is no home treatment for abnormal vaginal bleeding.
With some types of vaginal bleeding, it may be okay to wait to see if the bleeding stops on its own. If the bleeding continues or gets worse, see your doctor to find out the reason for the bleeding. If you are using tampons for abnormal vaginal bleeding, be sure to change them often, and do not leave one in place when the bleeding has stopped. A tampon left in the vagina may put you at risk for toxic shock syndrome TSS. TSS is a rare but life-threatening illness that develops suddenly after a bacterial infection rapidly affects several different organ systems.
If you are age 40 or older, you may be experiencing perimenopause. For more information, see the topic Menopause and Perimenopause. Call your doctor if any of the following occur during home treatment:. To prepare for your appointment, see the topic Making the Most of Your Appointment. You can help your doctor diagnose and treat your condition by being prepared to answer the following questions:. Blahd, Jr. Current as of: March 20, Author: Healthwise Staff.
Medical Review: William H. This information does not replace the advice of a doctor.
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Abnormal Vaginal Bleeding Skip to the navigation. Topic Overview Many women experience abnormal vaginal bleeding or spotting between periods sometime in their lives. Vaginal bleeding is considered to be abnormal if it occurs: When you are not expecting your menstrual period. When your menstrual flow is lighter or heavier than what is normal for you.
At a time in life when it is not expected, such as before age 9, when you are pregnant, or after menopause. Causes of abnormal bleeding Abnormal vaginal bleeding has many possible causes. Because bleeding can mean a problem with pregnancy, possible pregnancy should always be considered in a woman of childbearing age. Spotting to minimal bleeding may be normal.
But any bleeding during pregnancy needs to be evaluated by your doctor.
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Heavy vaginal bleeding or bleeding that occurs before 12 weeks may mean a serious problem, including an ectopic pregnancy or miscarriage. Heavy vaginal bleeding or bleeding that occurs after 12 weeks also may mean a serious problem, such as placenta previa. Ovulation can cause mid-cycle bleeding. Polycystic ovary syndrome PCOS is a hormone imbalance that interferes with normal ovulation and can cause abnormal bleeding.
Medicines , such as birth control pills, sometimes cause abnormal vaginal bleeding. You may have minor bleeding between periods during the first few months if you have recently started using birth control pills. You also may have bleeding if you do not take your pills at a regular time each day. For more information, see the topic Birth Control.
An intrauterine device IUD also may increase your chances of spotting or heavy periods. Infection of the pelvic organs vagina, cervix, uterus, fallopian tubes, or ovaries may cause vaginal bleeding, especially after intercourse or douching. Sexually transmitted infections STIs are often the cause of infections. For more information, see the topic Sexually Transmitted Infections. Pelvic inflammatory disease PID causes inflammation or infection of the uterus, fallopian tubes, or ovaries, which can cause abnormal bleeding. Other less common causes of abnormal vaginal bleeding that may be more serious include: Sexual abuse.
An object in the vagina. Uterine fibroids , which are a common cause of heavy periods.