Vaginal bleeding is a common symptom of female reproductive organ diseases, which can come from vulva, vagina, cervix and endometrium, but most of them come from uterus. The amount of vaginal bleeding can be life-threatening, but the prognosis is good if it is caused by benign diseases; A small amount of bleeding may also be the earliest symptom of malignant tumor. If it is neglected, it will delay treatment and cause adverse consequences.
Generally, non-menstrual vaginal bleeding is common in the following situations:
1. The term bleeding during ovulation is often heard. Western medicine calls it ovulation bleeding, while Chinese medicine calls it "menstrual bleeding". This is due to the short-term decline of estrogen level, which makes the endometrium lose the support of hormones and partially fall off, resulting in regular vaginal bleeding. This kind of bleeding is not much. Some people only have a small amount of brown secretion, which usually lasts for half a day or 2 ~ 3 days, and will not exceed 7 days at most, and may be accompanied by slight ovulation pain and backache. If people who are measuring basal body temperature can find that this kind of bleeding usually occurs during the transition from hypothermia to hyperthermia. If the symptoms are mild, they can be left untreated, but if the symptoms are obvious, they may affect fertility and should be treated.
2. Functional uterine bleeding is called dysfunctional uterine bleeding for short. This disease is very common in clinic, which is mainly caused by neuroendocrine dysfunction in regulating reproduction. Its manifestations are usually irregular menstrual cycle, excessive menstrual flow, prolonged menstrual period or irregular bleeding. The principle of treatment is to stop bleeding quickly. After stopping bleeding, adjust and establish a normal menstrual cycle to prevent recurrence. Because of long-term bleeding, some people are accompanied by anemia in different degrees, so it is also very important to correct anemia.
3. If menstruation is delayed for 7 ~10, don't think that it must be that menstruation is late. You should pay attention to whether the amount, color and duration of bleeding are the same as normal menstruation. If menstrual bleeding occurs frequently, dripping profusely and accompanied by abdominal pain, you should pay attention to whether there is the possibility of ectopic pregnancy or threatened abortion. If the bleeding is more than usual and lasts for a long time, dysmenorrhea is obvious, which is more common in hysteromyoma or endometriosis. It is necessary to see a doctor in time.
4. The phenomenon of vaginal bleeding after sexual intercourse is called contact bleeding, which is mostly related to gynecological diseases such as vaginitis, cervical erosion, cervical polyp, early cervical cancer and submucosal myoma. It is the only choice to see a doctor in gynecology as soon as possible.
Some women will have vaginal bleeding after unprotected sex because of taking emergency contraception. The influence of emergency contraception on menstruation is mainly manifested in the change of menstrual cycle, which may be early or delayed, especially repeated use will lead to menstrual disorder, bleeding and endless dripping. Therefore, it can only be used as a remedial measure and cannot replace the normal contraceptive methods. It should also be reminded that some women abuse some hormone-containing "health care products", "breast augmentation drugs" and "cream", which will also have an impact on menstruation.
6. Generally, vaginal bleeding will stop about 3-7 days after abortion or spontaneous abortion, and extremely few people will be prolonged due to physical weakness, fatigue and other reasons, but this needs to be judged by doctors. If there are no special circumstances, the time of vaginal bleeding will be prolonged. After excluding intraoperative injury and cervical inflammation, it is likely that there is residue in the uterus. At that time, the doctor will decide whether to use medicine or clear the uterus. Otherwise, after a period of time, the residual fetal membrane tissue may become choriocarcinoma.
7. Women who have suffered from hydatidiform mole will have endless vaginal bleeding again within two years after formal treatment, which may be the early symptoms of malignant hydatidiform mole and should be treated immediately.
8. Postmenopausal women, especially after the age of 60, have two possibilities for vaginal bleeding. For some women who still have sex, because of the endocrine changes after menopause, the vagina is dry, and if some lubricants are not used, it is easy to cause vaginal mechanical injury and bleeding. Unexplained vaginal bleeding after amenorrhea is not a good thing, because with the increase of age, the probability of cervical cancer and uterine cancer will increase.
Non-menstrual bleeding is mostly pathological, and because many people can't tell whether bleeding is physiological or pathological, it is best to consult a doctor in the hospital for safety, so as not to delay the opportunity of early diagnosis and treatment.
For other details, please refer to Baidu Encyclopedia's introduction to vaginal bleeding, and the address is attached.