Can you get pregnant if you are bleeding but haven't had sex?

Patient's question:

I have an itchy lower body, and my underwear is always yellow. What's going on? Can I get pregnant if there's bleeding but no penetration?

Doctor's answer:

In your case, the bleeding may be caused by qi deficiency failing to control blood, often resulting from prolonged illness, exhaustion, or spleen deficiency leading to qi deficiency. When qi is weak, it cannot properly regulate blood circulation, causing blood to overflow from vessels. Alternatively, chronic blood loss may deplete qi, turning it into qi deficiency that fails to hold blood.
It is recommended to take a large dose of astragalus decoction to boost qi and stop bleeding. It is best for your friend to undergo a gynecological examination at the hospital, particularly an ultrasound. If possible, adding a colposcopy or hysteroscopy would be even better, as they can reveal whether any parasites are remaining in the reproductive organs.

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