There are a number of health problems that should trigger a referral for medical assessment and treatment if necessary. The following are some of the signs and symptoms to be aware of:
There are several types of abnormal bleeding that require medical referral. These are:
• |
Mid-cycle bleeding or spotting |
• |
Very heavy bleeding or flooding |
• |
Any bleeding after menopause |
• |
Irregular bleeding |
• |
Spotting after intercourse |
• |
Amenorrhea |
Any woman who has bleeding after menopause should see her doctor or health car provider. Skipping periods, even if the woman isn’t pregnant, is a problem that should be evaluated.
Breast changes that require referral are as follows:
• |
Changes in shape and size |
• |
Discharge or bleeding from the nipple |
• |
Persistent tenderness or pain |
• |
Lumps in the breast |
Occasionally a woman may notice a lump in her breast pre-menstrually. If the lump persists past her menses or occurs during the first half of the cycle, this should be referred.
The following vaginal and sexual problems are recommended for medical referral and assessment.
• |
Increased or abnormal discharge |
• |
Increased vaginal dryness |
• |
Vulvar pain or irritation |
• |
Pain or bleeding after intercourse |
• |
Painful intercourse |
• |
Reduced libido |
| 
