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 she was 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, but why is it coming so early? She says she has never had it come early before. She has had a miscarriage in the past, but it has been a long time since then, and it's all better now. I don't know what's going on. Please help the experts answer this. Thank you.First question supplement: 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 the following reasons:1. Cervicitis (erosion). Many women after marriage suffer from cervicitis, especially those with moderate or severe cervical erosion. During sexual intercourse, the male's penis head rubbing against the cervix can cause injury and bleeding.
2. Cervical polyps. Long-term chronic inflammation stimulation 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 post-coital bleeding may occur.
3. Endometriosis. In some cases, endometrial tissue grows in the cervix, appearing as bluish-purple nodules. During intercourse, if these bluish-purple endometrial nodules are touched, bleeding may result. The bleeding is usually light in amount and dark red, and abdominal pain may also occur post-coitally.
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 at the tumor site, capillaries are easily damaged and bleed during intercourse. If the cancer progresses further, bleeding becomes even 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 can be acute or chronic. 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 cell counts and fever. In such cases, sexual intercourse and vaginal surgery should be avoided, and oral or local anti-inflammatory medications should be used for treatment. Currently, the most common