What are the reasons for vaginal bleeding after menstruation?

Patient's question:

I am 24 years old, married, and have not been pregnant or had an abortion.
1) I have had candidiasis of the vagina, after which sexual intercourse became difficult. When my husband entered, it was very painful, and the vaginal opening would tear slightly, causing a little bleeding. It was fine the next day. The same thing happened during the next sexual intercourse. Every doctor said it was nothing and only prescribed Bactroban. But it was really uncomfortable, and it kept making me fearful.
2) Three days after my last menstrual period, the vagina started bleeding. I went to the hospital for a check-up, and they ruled out ectopic pregnancy. The doctor said the bleeding was caused by pelvic inflammatory disease. I have had many saline flushes for inflammation. But

Doctor's answer:

Hello, there are many causes of sexual pain, and sometimes it can be the result of the interaction of several factors. The organic conditions that can cause sexual pain mainly include excessive retroversion of the uterus, cervical polyps, genital inflammation (such as vulvitis, vaginitis, pelvic inflammatory disease, etc.), pelvic tumors, endometriosis, hemorrhoids, vulvar laceration, poor healing of episiotomy wounds, vulvar dryness, urethral papillae, rigid hymen, hymen atresia, and so on. These pathological factors need to be treated according to the examination results. At the same time, mental comfort is also necessary, because even after the organic lesions are cured, mental tension can still affect sexual life.
It may be related to pelvic inflammatory disease, and an ultrasound examination of the uterus and adnexa can be performed.

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