Patient's question:
I had very normal leukorrhea before, but the day before yesterday, I experienced vaginal bleeding during intercourse. Over the past two days, my leukorrhea still has some blood color. My hymen was not broken during my first time. I want to ask if I might have a problem?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 several reasons for it: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 damage 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, forming bluish-purple nodules. During intercourse, if these bluish-purple ectopic nodules are encountered, bleeding may result. The bleeding is usually small in amount and dark red, and abdominal pain may also occur post-coitus.
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's important to take this seriously and seek a detailed medical examination to identify the cause and receive active treatment.