How to Determine if Vaginal Bleeding is Menstruation

Patient's question:

Previously suffered from chronic pelvic inflammatory disease and cervical hypertrophy, had not had sexual intercourse for two years, and took decocted traditional Chinese medicine for a year. On the 11th of this month, I had sexual intercourse with my husband, and there was a very small amount of vaginal bleeding at that time. The next day, when urinating, the amount of bleeding was slightly more than before.
Test results: No previous treatment history and effectiveness: The doctor prescribed traditional Chinese medicine granules: Duanliu particles, levofloxacin lactate dispersible tablets, diclofenac potassium dispersible tablets, and Anluoxue.
What kind of help is needed: Now that the medicine is finished, in addition to bleeding, lower abdominal pain, and lower back pain, what should I do? I sincerely hope the expert can help me clarify this matter.

Doctor's answer:

How to determine if it's menstruation. If it is, then it is menstruation; otherwise, it is not. If there has been no sexual intercourse before, have intercourse on the 11th day, then it can be ruled out as pregnancy. If it is not menstruation, it is recommended to visit a regular hospital gynecology department for examination. Gynecological diseases pose significant harm to patients. Once symptoms are noticed, it is important to seek medical attention promptly, while also paying close attention to self-care, such as eating more vegetables and fruits, and avoiding foods. It is hoped that gynecological patients can receive professional treatment.

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