Patient's question:
Detailed medical condition and consultation purpose: I am 24 years old and unmarried. At the beginning of this year, I experienced non-menstrual bleeding. It is particularly noticeable after fatigue or sexual activity. The amount is small, the color is dark red or black, and it lasts for about 5 days. Ultrasound showed everything is normal. What could be the cause? Thank you.Onset and duration of the current illness: Three days after menstruation, during sexual activity. It lasted for five days, stopped for two days, and then reappeared due to work-related fatigue.
Current general condition: Continuous bleeding
Medical history: None
Previous diagnoses and treatment history and effectiveness: Diagnosed with endocrine disorder
Doctor's answer:
1. Functional uterine bleedingFunctional uterine bleeding is abbreviated as "Dysfunctional Uterine Bleeding" (DUB). It typically presents with irregular menstrual cycles, excessive menstrual flow, prolonged menstrual periods, or irregular bleeding, primarily caused by dysfunction of the nervous and endocrine systems. Due to prolonged irregular bleeding, some patients with DUB may also experience varying degrees of anemia. Generally, if menstruation is delayed by more than 7 days, it is advisable not to assume it is simply a delayed period but to observe the color, amount, and duration of the bleeding. If excessive or intermittent bleeding, abdominal pain, or other symptoms are observed, it is important to be vigilant.
2. Contact bleeding
Contact bleeding refers to vaginal bleeding that occurs in women after sexual intercourse. It is an abnormal phenomenon that requires attention. Generally, contact bleeding is associated with gynecological conditions (such as cervicitis, vaginitis, cervical erosion, cervical polyps, or early cervical cancer). If contact bleeding occurs, it is essential to seek medical attention promptly to avoid missing the optimal treatment window.