Symptoms of cervical bleeding

Cervical bleeding refers to irregular bleeding in the female cervix, especially in women in menopause or adolescence. It can easily lead to menstrual disorders, resulting in longer menstrual periods, or heavy bleeding, or continuous bleeding during menstruation. It requires timely treatment and care, and you should pay more attention to your physical condition.

What are the symptoms of cervical bleeding?

symptom

1) Irregular uterine bleeding: It mostly occurs in women during adolescence and menopause. The characteristics of bleeding are irregular menstrual cycle, prolonged menstrual period, increased blood volume, irregular bleeding time, amount of bleeding and interval time. Uterine bleeding often occurs after a short period of amenorrhea.

2) Menorrhagia: First, there is heavy menstrual bleeding, accompanied by blood clots. The total amount of blood loss in one menstrual period is 500~600 ml, and the cycle is normal. Second, the menstrual period is prolonged, and it takes 10 to 20 days for the menstrual blood to stop, and the menstrual flow may not be heavy.

3) Frequent menstruation: Bleeding duration and amount may be normal, but the menstrual cycle is shortened, generally less than 21 days, which can occur in women of all ages.

reason

Cervical erosion

Due to the chronic inflammation of the cervix, more purulent secretions are discharged, which soak the epithelium of the external os of the cervix, causing it to lose its vitality and form desquamation and ulcers. This is what is often seen in clinical examination as a shiny bright red area with fine particles around the external os of the cervix - cervical erosion.

Cervical ectropion

The cervix may be torn during delivery, induced labor, or abortion. If it is not repaired promptly by surgery, the scar tissue may contract and cause the cervical opening to evert. If combined with infection to form chronic cervicitis, the leucorrhea will be purulent and there will be contact bleeding.

Cervical polyps

Inflammation is a factor in the formation of polyps. Polyps originating from the uterine tube mucosa are soft, bright red, and fragile. They bleed when touched lightly and can be found during a gynecological examination. Larger polyps can cause increased vaginal discharge, bloody vaginal discharge, or contact bleeding, especially a small amount of bleeding after sexual intercourse or straining during bowel movements. These symptoms are similar to those of early cervical cancer.

Leukoplakia of the cervix

Cervical leukoplakia is a white, opaque, patchy lesion that appears on the cervix. The cause of the disease is not very clear yet, it may be related to endocrine disorders, chronic stimulation of cervical inflammation, the influence of vaginal trichomoniasis, etc. In recent years, it has also been found that the occurrence of cervical leukoplakia may be related to the carcinogenic factors of cervical cancer. Simple uterine leukoplakia often has no obvious symptoms. If it is combined with cervical erosion or endocervical endometrial eversion, there will be increased leucorrhea, or occasional bloody vaginal discharge and contact bleeding.

Cervical cancer

Cervical cancer is one of the common cancers in the human body. Contact bleeding may be one of the early symptoms of cervical cancer. Bleeding often occurs after sexual intercourse or during vaginal examination. Vaginal bleeding is extremely irregular, usually a little at first and then more, or sometimes a little and sometimes more. However, some patients have heavy bleeding after the first contact, which is often caused by rupture of small arteries. Sometimes vaginal bleeding may also occur after straining during a bowel movement.

Treatment

How to treat functional cervical bleeding? After bleeding, you should pay attention to proper rest and avoid mental stress, excessive fatigue or strenuous exercise. If the bleeding is heavy,

Uterine polyps causing bleeding

You should rest in bed to reduce pelvic bleeding, and take uterine contraction and hemostatic drugs, such as ergonovine, oxytocin, or atelocell, agrimony, vitamin K, etc. to stop bleeding as an emergency measure.

If anemia occurs, blood tonic medicine can be taken. When anemia is severe, blood transfusion should be considered if conditions permit. Then different treatment measures should be adopted according to different situations. For example, if the patient is an adolescent, bleeding should generally be stopped first, and then cyclical therapy should be carried out to induce ovulation and restore ovarian function. However, it must be done under the guidance of a doctor.

Married women whose symptoms are difficult to control with drug treatment may consider curettage. Symptoms can be relieved after curettage in about half of patients. For menopausal women, if drug and curettage are ineffective, hysterectomy or radioactive menopause may be considered, that is, 1500-1800 mg/hour of radium is placed in the uterus to destroy the endometrium, harden the blood vessels, and achieve the purpose of hemostasis, or a small amount of deep X-rays are used to irradiate the ovaries to destroy ovarian function and cause permanent amenorrhea. However, it has a great impact on systemic metabolism and should not be used unless absolutely necessary.