Patient's question:
Detailed medical condition and consultation purpose: There are 2-3 days each month when the leukorrhea contains dark red blood, mostly occurring between two menstrual periods, but also at other times. This condition has persisted for two years.Doctor's answer:
Bleeding mixed with leukorrhea may sometimes appear pink or dark red. It could be caused by benign conditions such as cervical polyps, cervical erosion, submucosal uterine fibroids, or senile vaginitis, but it's also important to be vigilant about the possibility of malignant tumors such as vaginal cancer or cervical cancer.The formation of leukorrhea in normal women is related to the effects of estrogen. It appears as a white, paste-like or egg-white-like substance, which is odorless, non-irritating, and slightly acidic.
If there are changes in the quality or quantity, such as an increase in volume or changes in color or odor, it indicates pathological leukorrhea. This is due to certain reasons that disrupt the normal vaginal environment or certain gynecological conditions (such as inflammation of the reproductive organs). Generally, pathological leukorrhea can be classified into the following types:
1. Egg-white-like or white watery leukorrhea. It may seem normal but is increased in volume. Attention should be paid to conditions such as endometrial hyperplasia, ovarian dysfunction, or vaginal adenosis. Additionally, systemic diseases like anemia, diabetes, or weakened physical health in women may also cause this type of leukorrhea.
2. Yellow or yellow-green purulent leukorrhea with a foul odor. This is mostly caused by vaginal inflammation, with trichomoniasis being the most common. It is often accompanied by itching and pain in the external genitalia and vagina.
3. Cottage cheese-like or curd-like leukorrhea. This is a typical symptom of candidal vaginitis.
4. Watery leukorrhea, resembling rice water. If it has a strong odor, it should be a cause for concern.
5. Bloody leukorrhea.
It is recommended to undergo a checkup.