Patient's question:
Hello, I would like to ask for some advice. I am currently trying to conceive. My last menstrual period was from December 6th to 10th. I had intercourse on the 18th, 21st, 24th, and 27th. On the 31st, I experienced a small amount of brown discharge, which is still ongoing, but I don't feel any discomfort. My menstrual cycle is typically 35-40 days, and it's still nearly 10 days away from the shortest cycle. Additionally, I usually experience cramps on the first day of my period, but this time I have none.Doctor's answer:
Vaginal bleeding is a common issue faced by many women. Some of it falls under physiological vaginal bleeding, such as normal menstruation or the discharge of lochia postpartum, which falls within the normal physiological range and does not pose a threat to health. Pathological vaginal bleeding, however, is different—it is not only a manifestation of a physical illness but the bleeding itself can also harm health. Vaginal bleeding can originate from the vulva, vagina, cervix, or endometrium, but it is most commonly from the uterus.There are many causes of abnormal vaginal bleeding, such as: endocrine dysfunction of the ovaries, abnormal pregnancy, tumors, reproductive tract infections, trauma, foreign bodies, or systemic diseases, among others. Age is an important reference value for differentiating vaginal bleeding: vaginal bleeding in girls and postmenopausal women (elderly women) is more likely to be considered malignant; in adolescent girls, functional uterine bleeding () is the first consideration; while in women of reproductive age, conditions related to pregnancy are more likely to be considered.