Patient's question:
I and my partner were having sex last night when suddenly there was bleeding from her vagina. I don't know what's going on. The last time it happened the same way, the expert told us to go to the hospital to check if we were pregnant. We did, and it wasn't. This time it's the same. She has irregular periods. Her last period started on the 3rd of last month. If it were her period, it should come around the 3rd of this month. Why is it coming so early? She says she has never had it come early before. She has had a miscarriage before, and it took a long time, but it's all better now. I don't know what's going on. Please help the experts answer this. Thank you.First follow-up question: What is cervical inflammation? It's not something that happens often.
Doctor's answer:
Hello: I'm not very clear about your specific situation, but generally speaking, post-coital vaginal bleeding is a common symptom of gynecological diseases, and there are usually several reasons for it:1. Cervicitis (erosion). Many women after marriage suffer from cervicitis, especially those with moderate or severe cervical erosion. During sexual intercourse, the friction of the male penis against the cervix can cause damage and bleeding.
2. Cervical polyps. Long-term chronic inflammation of the cervix can lead to the growth of one or more pedunculated polyps at the cervix opening. These polyps are fragile and bleed easily upon contact, so bleeding may occur after intercourse.
3. Endometriosis. In some cases, endometrial tissue grows in the cervix, forming bluish-purple nodules. During intercourse, if these bluish-purple endometrial nodules are touched, bleeding may occur. The bleeding is usually light in amount and dark red, and abdominal pain may also occur after intercourse.
4. Cervical cancer. Post-coital bleeding is one of the earliest symptoms of cervical cancer. Due to the presence of numerous small blood vessels and fragile tissue in the tumor lesions, capillaries are easily damaged and bleed after intercourse. If the cancer progresses further, bleeding becomes more likely.
Other reasons for post-coital vaginal bleeding include vaginitis, pelvic inflammatory disease, and submucosal uterine fibroids that protrude into the vagina. It is important to take this seriously and seek a detailed medical examination to identify the cause and receive active treatment.
Cervicitis is divided into acute and chronic types. Acute cervicitis is often seen after childbirth and is characterized by increased vaginal discharge, lower abdominal and lumbosacral pain. Some patients may have elevated white blood cells and fever. In such cases, sexual intercourse and vaginal surgery should be avoided, and anti-inflammatory drugs should be taken orally or applied locally for treatment. Currently, the most common