Patient's question:
Before, I noticed some blood streaks in my leukorrhea, not much, and I had some discomfort in my lower abdomen. I went to the county hospital for a transvaginal ultrasound. The ultrasound revealed a fibroid about 4 cm in size, but there were no bleeding points found inside the uterus or in the vagina. The doctor prescribed Guizhi Fuling Pill. After taking it once at home, the blood streaks in my leukorrhea increased, and they were fresh blood. After taking it for a few days, not only did it not stop, but it got worse. In a few more days, it will be my menstrual period. I don’t understand. Could the experts please advise whether this bleeding is abnormal or just my period? What should I do?History of Treatment and Effects:
Around New Year's, I had an ultrasound that showed a fibroid about 1 cm in size. The doctor said it was not a big concern. A few days ago, I had another transvaginal ultrasound, which showed a fibroid about 4 cm in size, but there were no bleeding points found inside the uterus or in the vagina. The doctor prescribed Guizhi Fuling Pill. After taking it once at home, the blood streaks in my leukorrhea increased...
Doctor's answer:
Increased leukorrhea with blood streaks may indicate cervical inflammation, specifically acute cervical inflammation, because increased leukorrhea is the most common, and sometimes even the only, symptom of acute cervical inflammation. The leukorrhea may be purulent or mixed with blood, often accompanied by lower back pain and lower abdominal discomfort. At times, the external genitalia may be irritated by inflammatory secretions, leading to itching, a burning sensation, and urinary symptoms such as frequent urination and urgency. A few patients may experience pain during intercourse or elevated body temperature. Some individuals with acute cervical inflammation may have mild or no symptoms, making it easy to overlook and potentially develop into chronic cervical inflammation. The main symptom of chronic cervical inflammation is increased leukorrhea. When the inflammation spreads along the uterosacral ligaments to the pelvic cavity, it may cause lower back and sacral pain, as well as lower abdominal discomfort.