What should I do if I still have bleeding after my period?

Patient's question:

Doctor: The patient experienced vaginal discharge resembling clotted blood about two weeks after her menstrual period. The initial few instances were coffee-colored leukorrhea accompanied by lower abdominal pain and fatigue in the limbs. Subsequent episodes involved small clots of dark red blood, with the lower abdominal pain symptoms gradually subsiding. This condition has persisted for approximately four months. During this period, her menstrual cycle has been irregular.
Onset and duration of the current illness: The symptoms appeared two weeks after the menstrual period and lasted for about one week.
Current general condition: The symptoms occur monthly.
Medical history: No previous diagnosis or treatment has been conducted, and there has been no improvement.
1. Professor. During the ultrasound examination conducted just before the menstrual period, a small tumor was detected. However, due to the proximity of the menstrual cycle, the doctor could not determine its severity.

Doctor's answer:

Hello, irregular vaginal bleeding can be of two types: physiological and pathological. Generally, women may experience ovulatory bleeding during their ovulation period, also known as mid-cycle bleeding, which refers to light bleeding between two normal menstrual cycles. It may be accompanied by varying degrees of mild abdominal pain. If the symptoms are mild, no treatment is needed. However, if the bleeding is heavy or affects fertility, medication can be used.
However, irregular vaginal bleeding should also be considered as a possible sign of the following conditions: cervical polyps, acute vaginitis, severe cervical erosion, cervical cancer, submucosal uterine fibroids, etc.
It is recommended to have a six-hormone test at the hospital. Wishing you good health!!!

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