Patient's question:
In the morning, there was none, but at 10 a.m., I noticed a small amount of blood streaks in my underwear. There were no unusual sensations in my body, and emotionally, I had a nightmare last night and woke up in the middle of the night. Before going to bed, I took Mahen pills to relieve constipation. My menstrual cycle is generally normal, but it was delayed by three days this month. I took emergency contraception last month. Please advise if this situation is serious and what tests or treatments I should undergo if I go to the hospital. Thank you! First follow-up question: The first day of my period this time was the 16th.Doctor's answer:
Hello, it is possible that the symptoms could be due to dysfunctional uterine bleeding, gynecological inflammation, or ovulation bleeding.Ovulation bleeding occurs on days 12-14 of a normal menstrual cycle, which is when ovulation happens. During this time, due to the rupture of the follicle and fluctuations in estrogen levels, changes in vascular permeability cause red blood cells to seep out of the blood vessels, resulting in light vaginal bleeding. This is known as ovulation bleeding.
Additionally, it cannot be ruled out that the condition may be caused by organic diseases such as vaginitis, pelvic inflammatory disease, cervical inflammation, endometriosis, etc.
Based on your situation, it is recommended to undergo relevant examinations to identify the cause and receive targeted treatment. It is advisable to visit a hospital for a routine vaginal discharge test to confirm the diagnosis and then proceed with symptomatic treatment. Wearing loose clothing, maintaining hygiene during bowel movements, having a regular routine, avoiding excessive barbecue or heavily seasoned foods, and other measures can help treat vaginitis and prevent recurrence.