Patient's question:
Vaginal discharge with a small amount of black blood, accompanied by dysuria, occasional mild pain in the vagina and uterus. Half a month ago, there was bleeding during intercourse and slight dysuria. On the third day, a gynecological internal examination and ultrasound were performed. The ultrasound showed uneven endometrial echoes and a 7mm cyst. However, the doctor said there was nothing wrong and didn't prescribe any medication. But it still causes bleeding during intercourse, and there's a sensation of muscle pain. What could be the cause?Doctor's answer:
Based on your description and careful examination, it is suspected that you have sexual intercourse bleeding accompanied by mild dysuria, and ultrasound shows uneven echo of the endometrium. There is skin breakdown and dysuria after intercourse, and the color Doppler ultrasound results also show uneven endometrium, indicating that the uterine cavity may have inflammation. It is recommended that you undergo a gynecological examination to check if cervical erosion or polyps have caused the contact bleeding, then have a color Doppler ultrasound of the bladder and kidneys to rule out kidney or bladder ureteral stones that may cause dysuria symptoms, and then treat accordingly! The harm it brings to patients is very great. Once symptoms are detected, it is important to seek medical attention promptly, while also paying close attention to self-care training.