What causes bleeding from the vagina after defecation?

Patient's question:

I had vaginal bleeding while I was having a bowel movement yesterday. I thought it was my period, so I used sanitary pads. A while later, when I went to the toilet, I realized it wasn't my period. I wondered if I had made a mistake. Could it be from the anus? I wiped around the anus with a tissue and found no dry blood. So it must be the vagina. What's going on?

Doctor's answer:

Generally, before and after menstruation, the endometrium begins to shed gradually, and a little bit of bleeding is normal. However, if it appears again after a bowel movement, it indicates that pressure has been exerted on the uterus or vagina during the effort. Therefore, for your condition, it is best to go to the hospital for a more detailed examination, including a routine gynecological check-up, to see if there is any inflammation or suppuration in the vagina or cervix. Then, treatment can be administered. If there are no issues with the vagina or cervix, an ultrasound examination can be performed to check if there are any bleeding points in the uterus.

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