Attachment inflammation at night, white discharge has red blood vessels, please ask why you have red

Patient's question:

Today I went to the hospital for a check-up. I thought I had been experiencing lower abdominal heaviness for the past two days, and when I went to the toilet to have a bowel movement, I didn't dare to strain. I went to the hospital for a gynecological exam, and the doctor said they didn't find any yeast or trichomoniasis. The cleanliness score was 3, which is not very good. They also did a colposcopy, which revealed thickening of the left adnexa, indicating adnexitis. The doctor prescribed Fuyan Kang tablets for me to take for treatment. After coming back from the hospital, I noticed red blood streaks in my white discharge at night.
Why do you have red blood streaks? Did it happen during the gynecological exam or colposcopy?
Moreover, the abdominal pain hasn't subsided. It still comes in waves, and I still don't dare to strain when going to the toilet to have a bowel movement. Should I see a surgeon and get an X-ray?

Doctor's answer:

Hello, the red blood vessels in your leukorrhea are due to the examination, and it is also because you have inflammation issues, so the examination is easily damaging. Your adnexitis is in the acute inflammation stage, and simply taking Fuyan Kang is not enough; you need to take anti-inflammatory drugs at the same time. The more sensitive options include Azithromycin, Levofloxacin, Clindamycin, etc. It is best to receive intravenous treatment.

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