What is the reason for abnormal and irregular menstrual bleeding?

Patient's question:

Menstruation lasted for three days, and then sexual intercourse occurred. Today, there were blood clots, and I don't know what the reason is. It has never happened before. What is causing this?

Doctor's answer:

Three days after menstruation, sexual intercourse leads to thick vaginal bleeding. First, it is necessary to consider cervical bleeding and rule out cervical lesions. After excluding cervical abnormalities, evaluate whether the issue is due to cervical polyps or cervical inflammation. It is recommended that you visit a hospital to undergo TCT and HPV tests to rule out cervical lesions. Based on the results, symptomatic treatment should be administered. During medication, sexual activity should be avoided, and spicy foods should be avoided. For gynecological patients, in addition to standard treatment, it is also important to pay attention to self-care measures, such as maintaining good hygiene in the private area and avoiding sexual activity during medication. Finally, it is advised that female patients undergo regular follow-up examinations.

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