Patient's question:
I used to have very normal leukorrhea, but the day before yesterday, I experienced vaginal bleeding during sexual intercourse. Over the past two days, my leukorrhea still has some blood color. I haven't broken my hymen for the first time, and I want to ask if I might have a problem?Doctor's answer:
Hello: I'm not very clear about your specific situation, but generally speaking, post-coital vaginal bleeding is a common symptom of gynecological diseases, and there are usually several reasons for it:1. Cervicitis (erosion). Many women suffer from cervicitis after marriage, especially those with moderate or severe cervical erosion. During sexual intercourse, the friction between the male's penis head and the cervix can cause injury and bleeding.
2. Cervical polyps. Long-term chronic inflammation of the cervix can lead to the growth of one or more pedunculated polyps at the cervix opening. These polyps are fragile and bleed easily upon contact, so post-coital bleeding may occur.
3. Endometriosis. In some cases, endometrial tissue grows abnormally in the cervix, forming bluish-purple nodules. During sexual intercourse, if these bluish-purple endometrial nodules are stimulated, bleeding may result. The bleeding is usually light in amount and dark red, and abdominal pain may also occur post-coitally.
4. Cervical cancer. Post-coital bleeding is one of the earliest symptoms of cervical cancer. Due to the presence of numerous small blood vessels and fragile tissue in the tumor lesions, capillaries are easily damaged and bleed during intercourse. If the cancer progresses further, bleeding may become more frequent.
Other reasons for post-coital vaginal bleeding include vaginitis, pelvic inflammatory disease, and submucosal uterine fibroids that protrude into the vagina. It's important to take this seriously and seek a detailed medical examination to identify the cause and receive prompt treatment.