What are the causes of vaginal bleeding? Gynecologist tells you!

As we all know, women will experience heavy vaginal bleeding during menstruation, which is a normal phenomenon. The vaginal bleeding we are talking about today does not include menstruation, but bleeding from the female reproductive system. The bleeding sites include the vagina, fallopian tubes, cervix and other parts. The causes of this symptom are very complicated, including gynecological inflammation, genital tumors, cervical cancer and so on.

⑴ Senile vaginitis, cervical erosion and cervical polyps, often with a small amount of fresh bleeding after gynecological examination or after sexual intercourse, may have bloody leucorrhea (sometimes leucorrhea is sorghum rice soup or amber), endometritis and endometrial hyperplasia can also cause vaginal bleeding.

⑵ Functional uterine bleeding and discontinuation of hormonal drugs such as progesterone, ethinyl estradiol, and birth control pills can cause vaginal bleeding.

⑶ Uterine fibroids, adenomyosis, cervical cancer, uterine body cancer and ovarian granulosa cell tumors can all cause vaginal bleeding accompanied by red and white discharge.

⑷ Thrombocytopenic purpura, leukemia and liver damage cause vaginal redness, accompanied by bleeding spots on the skin.

⑸ Irregular bleeding after menopause occurs in women of childbearing age. The first thing to consider is pregnancy-related diseases, such as miscarriage, ectopic pregnancy, hydatidiform mole, malignant hydatidiform mole, and choriocarcinoma.

⑹ Blood staining before or after menstruation, such as a small amount of bloody discharge a few days before or after menstruation, is generally due to abnormal ovarian function; irregular menstruation after IUD insertion.

⑺ Bleeding in late pregnancy may cause placenta previa, placental abruption, and uterine rupture.

⑻Pregnancy bleeding may be caused by placental retention, incomplete uterine involution, and puerperal infection.

⑼ Vaginal bleeding in young children may indicate vaginal sarcoma.

⑽ If menopausal women have irregular vaginal bleeding with heavy amount and long duration, endometrial cancer and reproductive malignancies should be ruled out.

Since women of different ages have different physiological characteristics, age is an important reference for diagnosing vaginal bleeding. For example, vaginal bleeding in young girls and menopausal women should be considered as organic diseases, while in adolescent women it should be considered as dysfunctional uterine bleeding. In women of childbearing age, pregnancy-related diseases should be considered. At the same time, in clinical practice, the medical history should be taken in detail, the physical examination should be carefully performed, and necessary auxiliary examinations should be performed. Generally, a correct diagnosis can be made at an early stage and treatment can be initiated.