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Other causes of abnormal vaginal bleeding Aside from hormonal or structural causes, abnormal bleeding can be caused by: Infections and related conditions, such as sexually transmitted infections and pelvic inflammatory disease Medications, such as blood thinners Bleeding disorders, such as haemophilia, a vitamin K deficiency, or Von Willebrand disease Trauma Recent surgical procedures Foreign object in the vagina, including a birth control device such as intrauterine device (IUD) Can you bleed from stress

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