Irregular vaginal bleeding

Every female friend should pay attention to the problem of irregular vaginal bleeding. Because the female vagina is a very fragile part, any carelessness may cause serious gynecological diseases. Irregular vaginal bleeding may be a symptom of gynecological diseases in most cases. Women who experience irregular vaginal bleeding must understand the causes of this phenomenon.

Causes of irregular vaginal bleeding

1. Vaginitis.

For example, cervical erosion can cause bleeding during sexual intercourse; people with cervical polyps may also experience vaginal bleeding after straining to defecate. Patients often have vulvar itching and pain and dreg-like leucorrhea. Young children with vaginitis may also have a small amount of vaginal bleeding. When suffering from senile vaginitis, the patient's vaginal wall may have small bleeding spots, or ulcers and bleeding may occur. Bleeding caused by vaginal inflammation is generally in small amounts, often accompanied by blood in the leucorrhea and itching and pain in the vulva.

Bleeding related to inflammation

1. Vulvar bleeding. Seen in vulvar ulcers, urethral caruncle, etc.

2. Vaginal bleeding. It is seen in vaginal ulcers, vaginitis, especially senile vaginitis, Trichomonas vaginitis, etc.

3. Cervical bleeding. It is seen in acute and chronic cervicitis, cervical erosion, cervical ulcer, cervical polyps, etc.

4. Uterine bleeding. It is seen in acute and chronic endometritis, chronic myometritis, acute and chronic pelvic inflammatory disease, etc.

2. Cervical cancer.

Cervical cancer can also cause bleeding, which starts as contact bleeding and later develops into a small amount of irregular vaginal bleeding. In the late stage, the amount of bleeding increases, and even heavy bleeding may occur.

3. Cervical lesions.

Vaginal bleeding may sometimes occur in women with cervical polyps or cervical erosion, usually with blood in the leucorrhea, and is mostly contact bleeding. When suffering from cervical tuberculosis, the diseased tissue may ulcerate, and the ulcer surface may rupture, causing bleeding; sometimes the diseased tissue is nodular or papillary, and because of its brittle texture, it is also prone to bleeding. When suffering from cervical cancer, the tumor invades the blood vessels in the stroma and can cause vaginal bleeding. It starts as contact bleeding and then develops into a small amount of irregular vaginal bleeding. In the late stage, the amount of bleeding increases and may even be heavy bleeding.

4. Dysfunctional uterine bleeding.

It occurs around puberty, during the reproductive years, and around menopause. It manifests as abnormalities in the menstrual cycle and menstrual period, with bleeding that may be more or less, sometimes absent, or even continuous.

5. Bleeding during pregnancy.

Various types of miscarriage, such as threatened miscarriage, inevitable miscarriage, incomplete miscarriage, retained miscarriage, and habitual miscarriage. Incomplete delivery of the placenta during normal delivery, or residual placental tissue after miscarriage. Ectopic pregnancy is more common in women aged 18 to 45. Hydatidiform mole, malignant hydatidiform mole and choriocarcinoma.

How to prevent irregular vaginal bleeding

1. Married women should undergo routine gynecological examinations every 1-2 years to detect genital inflammation in a timely manner. Cervical cytology examinations can screen out early cervical cancer. Imaging examinations such as B-ultrasound and CT can help detect uterine fibroids and ovarian tumors in a timely manner.

2. Elderly women who are obese, have hypertension, or are diabetic are at high risk of endometrial cancer. If abnormal vaginal bleeding occurs, a diagnostic curettage should be performed to rule out endometrial cancer if necessary.

3. Active treatment of dysmenorrhea can reduce the occurrence of endometriosis.

4. Patients with abnormal vaginal bleeding and headache should undergo CT and MRI examinations to rule out hypothalamic and pituitary diseases.

5. Abnormal leucorrhea should be treated promptly to avoid ascending infection that may cause inflammation of the uterus, ovaries, fallopian tubes and pelvic cavity.

6. Pay attention to menstrual hygiene and avoid sexual intercourse during menstruation to reduce the occurrence of genital inflammation.