What are the early symptoms of vaginal bleeding?

Patient's question:

I got married last year, and recently I've been experiencing lower abdominal pain. It's especially severe during my period, and I'm very worried about it affecting my fertility. I also feel extremely cold and fear the cold. Could you please tell me what kind of tests are needed for vaginal bleeding?

Doctor's answer:

There are many causes of abnormal vaginal bleeding, such as: endocrine disorders of ovarian function, abnormal pregnancy, tumors, reproductive tract infections, injuries, foreign bodies, or systemic diseases, etc. Age is an important reference value for differentiating vaginal bleeding: vaginal bleeding in girls and postmenopausal women (elderly women) is more likely to be considered malignant; in adolescent girls, functional endocrine disorders of the uterus (also known as dysfunctional uterine bleeding) should be the first consideration; while in women of reproductive age, conditions related to early pregnancy are more likely to be considered. Go to the hospital for a thorough examination of the six sex hormones and ultrasound. Once the cause is identified, symptomatic treatment should be provided.

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