What should I do if there is bleeding when checking the vagina with a dilator?

Patient's question:

Vaginitis with a speculum for checking mycoplasma and chlamydia, half of them were removed, but it was too painful, so it wasn't done. However, there was blood on the speculum and also blood in the vagina. Is it serious?
1. Vulvar itching has persisted for a week. I initially thought it was vulvitis. The result of the vaginal discharge test showed cleanliness level 3, indicating bacterial vaginosis. Previous treatment and effectiveness: I just had sexual activity, and I have never encountered a situation like this before.
Is the bleeding after using the speculum a medical accident? Is it serious? Does it cause damage to the cervix and vagina? Can the bleeding be treated with medication for vaginitis?

Doctor's answer:

According to your medical history, you have vulvitis and bacterial vaginosis. Under normal circumstances, a gynecological examination using a speculum should not cause bleeding. Only in cases of vaginitis or cervicitis might touching lead to vaginal bleeding. It is recommended to follow the doctor's advice for medication, and you can return for a follow-up examination after some treatment time. It is also suggested to maintain good hygiene for the vulva and to eat fewer spicy and extremely cold foods. Always maintain a positive mood, and wish you good health. For severe cases of vaginitis, it is recommended to seek medical attention immediately. Treatment should be started immediately based on the doctor's advice, and do not switch to new medications arbitrarily, as this may have the opposite effect. The above advice is for reference only.

📌 Related Posts