What causes hematuria and external genital itching?

Patient's question:

Expert,
Female, 27 years old, no medical history, married.
Recently, she has been experiencing itching of the external genitalia, and blood flow after urination. Her last menstrual period was on the 22nd of the previous month, and she noticed blood in her urine on the 7th and 8th of this month.

Doctor's answer:

Hello: According to your description, it may be ovulation bleeding.
During the mid-cycle, i.e., the ovulation period, due to a temporary decline in estrogen levels, the endometrium loses hormonal support, leading to partial shedding of the endometrium and causing regular vaginal bleeding, which is referred to as ovulation bleeding. In traditional Chinese medicine, it is known as "intermenstrual bleeding."
Treatment
1. Western medicine treatment: Diethylstilbestrol 0.25–0.5 mg per day, starting 3 days before ovulation and stopping 2–3 days after the bleeding stops.
2. Traditional Chinese medicine treatment: Liuwei Dihuang Wan, Gujing Wan, and Xuefu Zhuyu Wan.
Prevention and Care
1. Pay attention to menstrual and postpartum health care, maintain external genital hygiene, and prevent pelvic infection.
2. Keep a calm mood and avoid excessive stress.

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