Patient's question:
I experienced vaginal bleeding during intercourse. Now that I'm not doing it, I'm still bleeding. ```Please ask what could be the reason. I've already consulted a doctor, who said it might be a side effect of taking birth control pills, causing the menstrual period to come earlier. The doctor asked me to wait until I'm clean before coming back for a follow-up. I'm just trying to confirm if this is the case. It's been half a month since I started taking birth control pills, but I'm still bleeding now, and it's quite heavy. It seems like a menstrual period, but it's even more than usual. I've already accepted one doctor's answer: it might be due to overly frequent sexual activity, which has damaged the Chong and Ren meridians (the Chong meridian governs the sea of blood, while the Ren meridian governs the uterus), leading to a gush of blood. At the same time, I've alsoDoctor's answer:
Hello: Coital bleeding, also known as bleeding during sexual intercourse, is a type of contact bleeding. The other type of contact bleeding is bleeding during a medical examination due to touch.There are many gynecological conditions that can cause coital bleeding. Common ones include cervical polyps, cervical erosion, submucosal uterine fibroids, post-implantation of an intrauterine device (IUD), senile vaginitis, cervical cancer, and vaginal cancer. Cervical erosion and cervical polyps are both manifestations of chronic cervical inflammation. Cervical polyps originate from the stimulation of chronic cervical inflammation. They are formed by the local proliferation of cervical canal mucosa, gradually protruding outward. The surface is covered with a layer of columnar epithelium, rich in microvessels, making them prone to bleeding upon contact. Cervical erosion is also caused by long-term inflammatory stimulation, leading to the shedding of squamous epithelium on the cervix surface. The denuded area is gradually covered by columnar epithelium that proliferates from the cervical canal. Columnar epithelium is thin, with blood vessels and stroma beneath it, making it easy to bleed during intercourse. Women with submucosal uterine fibroids, especially those protruding from the cervix, may experience coital bleeding due to the susceptibility of the mucosal surface to ulcers and infections. Women using intrauterine devices (IUDs) for contraception may also experience coital bleeding. This is because the IUD is a foreign object within the uterine cavity, and its mechanical pressure can cause local endometrial damage, necrosis, and ulcers, leading to the possibility of bleeding. In such cases, the stimulation of intercourse can trigger bleeding. Early cervical cancer may also present with coital bleeding, which is why we must take it seriously. Early-stage cervical cancer patients may have no obvious changes in the cervix, or the tumor may coexist with cervical erosion. Cervical cancer tends to bleed easily upon contact, mostly due to