Patient's question:
What is the disease of vaginal bleeding? What are the reasons?Doctor's answer:
Vaginal bleeding can generally be categorized into the following types:1. Intermittent vaginal bleeding with watery discharge. May indicate primary fallopian tube cancer.
2. Irregular vaginal bleeding during the menstrual cycle. Often caused by dysfunctional uterine bleeding (DUB), but endometrial cancer should be ruled out first.
3. Postcoital bleeding. Usually due to cervical erosion, cervical polyps, cervical cancer, or submucosal fibroids.
4. Vaginal bleeding accompanied by leukorrhea. Often suggests advanced cervical cancer or endometrial cancer with infection.
5. Long-term persistent vaginal bleeding. Mostly caused by malignant tumors of the reproductive system, such as cervical cancer or endometrial cancer.
6. Spotting before or after menstruation. Light blood-tinged discharge a few days before or after the onset of menstruation is usually due to ovulatory dysfunction or endometriosis.
7. Increased menstrual flow with prolonged duration but regular cycle. Likely caused by uterine fibroids, adenomyosis, or DUB. Additionally, women using an intrauterine device (IUD) may experience increased flow.
8. Irregular bleeding after menopause. In women of reproductive age, it is often related to pregnancy-related conditions, such as miscarriage, ectopic pregnancy, or molar pregnancy; in postmenopausal women, it is more likely to be caused by malignant tumors.
9. Intermenstrual bleeding. Occurs between two menstrual periods, lasting 3–4 days, with minimal blood volume. Usually indicates ovulatory bleeding.