What is painless vaginal bleeding?

Vaginal bleeding is a common symptom of gynecological diseases in society today. Many people do not pay much attention to irregular bleeding. In fact, this small phenomenon may indicate the occurrence of hidden diseases. There are often many reasons for vaginal bleeding, including excessive force in sexual life, ovulation bleeding and gynecological diseases. Vaginal bleeding is often painless.

Vaginal bleeding is a common gynecological symptom. Blood flows out of the vagina, but the bleeding site may be the vagina, cervix or uterus (the latter is more common); the amount of bleeding varies (a few are in the form of drops, and a lot can be life-threatening); the bleeding conditions vary (it may manifest as menstrual disorders, irregular bleeding, or contact bleeding after sexual intercourse, after a gynecological examination, etc.).

Symptoms: Vulvar itching or burning pain is the main symptom. In the acute phase, leucorrhea increases and appears as milky curds or tofu dregs.

Possible disease: vaginal candidiasis (vaginitis)

Symptoms: History of trauma, accompanied by vulvar hematoma, beware of hymen tear.

Possible disease: genital trauma

Symptoms: Girls under 5 years old may experience irregular vaginal bleeding when crying or urinating. The disease progresses rapidly and is accompanied by symptoms such as frequent urination, painful urination, and hematuria.

Possible disease: Botrytis cinerea

Symptoms: Children may experience irregular vaginal bleeding, signs of precocious puberty (early menarche, enlarged breasts, fuller vulva, and growth of pubic and axillary hair), accompanied by abdominal lumps, bloating, and pain.

Possible disease: Ovarian granulosa cell tumor

Symptoms: Menarche (early menarche and development of secondary sexual characteristics) occurs before the age of 10 years with normal menstrual cycles, duration and menstrual flow.

Possible disease: Precocious puberty

Symptoms: During puberty (12 to 18 years old), vaginal bleeding occurs within 1 to 2 years of menarche, manifested as irregular vaginal bleeding that continues for several weeks or a period of time after several months of amenorrhea, with a small amount of bleeding (occasionally, heavy bleeding may occur, and the longer the amenorrhea lasts, the more bleeding there is).

Possible disease: anovulatory bleeding

Symptoms: During adolescence (12 to 18 years old), there is heavy menstruation and prolonged menstruation, which may be accompanied by epistaxis, bleeding from the gums and skin.

Possible diseases: thrombocytopenic purpura, aplastic anemia, leukemia

Symptoms: Irregular vaginal bleeding, manifested as irregular menstrual cycle, menstrual period, and menstrual flow. Common symptoms include irregular menstrual cycle, varying lengths of menstrual period, variable bleeding volume, and even shock due to heavy bleeding. Or bleeding occurs after a short period of amenorrhea, with heavy bleeding that lasts for more than a month and cannot stop on its own. It may be accompanied by anemia, but generally no abdominal pain occurs.

Possible disease: Dysfunctional uterine bleeding

Symptoms: Middle-aged (30-40 years old) women present with menorrhagia, prolonged menstruation, or a small amount of vaginal bleeding 2-3 days before menstruation, secondary progressive dysmenorrhea and dyspareunia, and infertility.

Possible disease: Endometriosis (adenomyosis)

Symptoms: Increased leucorrhea, which is milky white mucous, light yellow, purulent or bloody, may be accompanied by lumbar pain, dyspareunia, bleeding during intercourse, infertility and other symptoms, but most patients with mild cases may have no obvious symptoms.

Possible disease: Chronic cervicitis

Symptoms: History of infertility, increased menstruation, accompanied by lower abdominal distension and pain and lumbosacral pain, and mild tenderness in one or both sides of the lower abdomen.

Possible disease: Chronic pelvic inflammatory disease

Symptoms: The menstruation was regular in the past, but vaginal bleeding occurred after the menstruation stopped, and there may be mild lower abdominal pain.

Possible disease: miscarriage

Symptoms: A small amount of vaginal bleeding or spotting occurs 6 to 8 weeks after amenorrhea, and severe abdominal pain on one side may occur suddenly.

Possible disease: ectopic pregnancy

Symptoms: Pregnancy body shape, anemia; vaginal bleeding occurs around 12 weeks after menstruation, is dark red in color, has variable amounts, may come and go or may last continuously, contains vesicular matter, and heavy bleeding may occur at any time.

Possible disease: hydatidiform mole

Symptoms: Irregular vaginal bleeding, often with a history of infertility, accompanied by hirsutism, obesity, and masculine hair distribution.

Possible disease: Polycystic ovary syndrome

Symptoms: Middle-aged (35-45 years old) women present with menorrhagia and prolonged menstruation, persistent or irregular vaginal bleeding, a solid mass in the lower abdomen, inactivity, lower abdominal pain and back pain.

Possible disease: uterine fibroids

Symptoms: Middle-aged women (35-50 years old) present with vaginal bleeding after sexual intercourse. As the disease progresses, irregular small amounts of vaginal bleeding and increased leucorrhea appear, which is watery, white or yellow, or rice-soup-like, or mixed with blood, accompanied by a foul odor. In the late stage, there is a large amount of purulent or rice-soup-like bloody and foul-smelling leucorrhea, accompanied by pain in the lower back and lumbosacral region.

Possible disease: Cervical cancer

Symptoms: irregular vaginal bleeding with varying amounts of blood, often accompanied by symptoms of lung metastasis (cough, bloody sputum or repeated hemoptysis) or vaginal metastasis (purple-blue nodules protruding from the vaginal mucosa, which may rupture and cause heavy vaginal bleeding).

Possible disease: Choriocarcinoma

Symptoms: Elderly women may experience persistent small amounts of vaginal bleeding, accompanied by increased leucorrhea, which may be yellow and watery. In severe cases, the discharge may be purulent or bloody with a foul odor, often accompanied by vulvar itching, burning, or pelvic discomfort, or may cause urinary pain, frequent urination, or urinary incontinence.

Possible disease: senile vaginitis

Symptoms: Elderly women (average age 68 years old, bleeding occurs long after menopause, an average of 10 years), one-time vaginal bleeding, not much blood or only intermittent bleeding, short bleeding time (3 to 7 days).

Possible disease: atrophic endometrium

Symptoms: Continuous or irregular bleeding before and after menopause. It is watery in the early stage, then mixed with blood, and purulent and smelly in the late stage when it is necrotic and infected. In the late stage, it is manifested by increased blood volume, leucorrhea, and lower abdominal pain.

Possible disease: Endometrial cancer

Symptoms: Irregular vaginal bleeding in women before and after menopause, manifested as metrorrhagia.

Possible diseases: ovarian granulosa cell tumor, theca cell tumor

Symptoms: In the elderly (60-69 years old is the second peak period of the disease), vaginal bleeding and increased leucorrhea are the main symptoms. The earliest symptom is a small amount of bleeding after sexual intercourse and bimanual examination (examination of the vagina and anus), which is called contact bleeding.

Possible disease: Cervical cancer

Symptoms: Middle-aged and elderly women (45 to 75 years old, with a peak age of 65 years old) experience vaginal bloody discharge and painless irregular bleeding. Vaginal cancer

After reading the above introduction by the editor about what painless vaginal bleeding is, I believe everyone is already clear about it. If you experience vaginal bleeding in your daily life, go to a regular hospital for examination as early as possible and receive targeted treatment based on your own situation. In addition, you also need to pay attention to personal hygiene and develop good living habits. I wish you good health.