Not during the period, underwear with blood

Patient's question:

My situation is as follows: October 2nd to October 6th was my last menstrual period. At this time, I was not in my period. Three days before my period, I had sex with my boyfriend, but it was unsuccessful. He did not succeed in entering, and during the process, I felt some lower abdominal discomfort and had to stop. However, there was no significant pain, no bleeding, but it got exposed to semen. The next day, I took Jin Yu Ting, and there were no obvious discomforts. That night, I used my fingers to insert into my lower part to check if my hymen had broken. Since there was no pain, was my hymen broken at this time or before?
On the third day, I took a bath and cleaned my external genitalia. When I washed my underwear and found blood stains, it had been very clean without any other issues. I usually have my period delayed by a few days, and recently, I might be in my ovulation period, with persistent lower abdominal odor. Could you please tell me what caused the blood on my underwear? Since I did not succeed in having sex, my hymen did not break.

Doctor's answer:

Hello, lesions of the endometrium, cervix, and vagina can all cause vaginal bleeding. Common causes include reproductive tract infections, cervical erosion, cervicitis, cervical polyps, or submucosal uterine fibroids, etc.
It is recommended that you go to the gynecology department of a hospital for examinations such as ultrasound to identify the cause before treatment.

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