What exactly is going on with vaginal bleeding?

Patient's question:

After the menstrual period is clean for two or three days, there is a very small amount of blood flowing out. It has been flowing for about five or six days. There is no abdominal pain, and this has been happening for a year. Every time after the menstrual period, there is this situation. About the past treatment and its effectiveness: I have used many gynecological anti-inflammatory drugs. At first, there was some effect, but later it didn't work anymore, and there is still a very small amount of blood flowing out. What kind of help do you want: Hello, this could not be a uterine fibroid. How serious is it? If it is just gynecological inflammation, what kind of medicine should I take?

Doctor's answer:

You experience recurrent vaginal bleeding after each menstrual period, and this symptom may be related to many factors, such as endometritis, pelvic inflammatory disease, or an intrauterine device (IUD). It is recommended to undergo specialized and thorough examinations, such as ultrasound, to rule out the possibility of ovarian cysts, tumors, or uterine fibroids. Often, such symptoms are associated with endometritis or IUD-related factors, or there may also be abnormal conditions such as endometrial polyps. If general examinations do not reveal any clear issues, medication treatment with oral anti-inflammatory drugs can be started after each menstrual period.

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