Why does bleeding occur during intercourse with adenomyosis?

Patient's question:

I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried about it affecting my fertility, and I'm also extremely sensitive to cold and coldness. Why does adenomyosis cause bleeding during intercourse?

Doctor's answer:

The cervical erosion you described, as well as cervical inflammation, is generally caused by childbirth trauma, improper sexual activity, or retrograde infection from vaginitis. Currently, treatment can be done using microwave therapy or herbal medicine that clears heat and dries dampness. In this case, it is usually possible to detect intrauterine early pregnancy with an ultrasound after about 40 days of menstruation (approximately 10 days of delayed menstruation). Once you confirm pregnancy, you can first have a regular ultrasound. If there is no intrauterine pregnancy, it will be necessary to consider the possibility of an ectopic pregnancy.

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