Patient's question:
The menstrual period that started on August 30th didn't come until November 14th and ended on the 20th;On the 22nd, we had sex. On the 24th, while having a bowel movement, I noticed some blood streaks in the vaginal discharge. From the 26th to the 27th, everything was normal. On the 28th, while having another bowel movement, there were a few more blood streaks in the discharge, but it went away after finishing (we hadn't had sex in these days). From the 30th to the 2nd, there was a bit of coffee-colored discharge, but the amount was small, and my body felt fine.
I've had this happen a few times before, but I haven't seen a doctor. Less than two years ago, something grew in my uterus, and I had a D&C procedure.
For this situation where only a small amount of blood streaks appear in the vagina during bowel movements, what is the most likely cause?
Doctor's answer:
White discharge with blood streaks is a common symptom of cervical inflammation. Severe vaginitis can also cause white discharge with blood streaks. If white discharge with blood streaks appears during the mid-cycle ovulation period, it is ovulatory bleeding, which is physiological and may not require treatment. If you suddenly notice white discharge with blood streaks, especially after sexual intercourse, it is important to consider whether it is caused by cervical inflammation. In such cases, I recommend you have an ultrasound and colposcopy examination at the hospital to check the condition of the uterine appendages, cervix, and vagina. This will help determine the cause of the white discharge with blood streaks. If the white discharge with blood streaks occurs during the mid-cycle, it may not require immediate treatment, and you can wait and see how the situation is in the next month. Physiological ovulatory bleeding can also be left untreated.