Blood streaks in the uterus

Gynecological diseases in women are particularly common in current clinical practice, and they require immediate diagnosis and treatment, otherwise they will cause serious problems. Among the current cancer mortality rates, cervical cancer in women is far ahead. Women's gynecological problems are generally reflected in leucorrhea and menstruation. If there is blood in the leucorrhea, it may also be uterine bleeding. The best way is to go to the hospital for examination. This article introduces other conditions related to blood in the uterus. Let’s take a look.

Clinical manifestations

It is generally manifested as blood mixed in the leucorrhea, with the amount of blood varying.

1. Cervical polyps: Cervical polyps are a manifestation of chronic cervicitis. The main symptoms are yellow leucorrhea, odorous leucorrhea, bloody leucorrhea, etc.

2. Acute vaginitis: The main symptoms are increased leucorrhea, which is yellow or purulent and has a foul odor. When the infection is severe, vaginal bleeding may occur.

3. Severe cervicitis: The main symptoms are increased vaginal discharge, which is yellow, sticky and smelly, accompanied by vulvar itching, bleeding during sexual intercourse, lumbar pain, dysmenorrhea, etc.

4. Senile vaginitis: Clinical manifestations include increased vaginal discharge in a light yellow color, and in severe cases, bloody and purulent leucorrhea.

5. Cervical cancer: vaginal bleeding or bloody vaginal discharge after sexual intercourse.

6. Endometrial cancer: Clinical manifestations include irregular bleeding, with the amount of bleeding varying from time to time. Premenopausal women may have heavy menstrual flow and prolonged duration, while postmenopausal women may experience postmenopausal bleeding.

7. Fallopian tube cancer: Because the tumor stimulates the fallopian tube epithelium to exude fluid and the diseased tissue to necrosis, the leucorrhea is intermittent, red liquid, and intermittently flows out of the vagina.

8. Vaginal cancer and uterine cancer: The "leucorrhea" secreted is mostly characterized by a large amount of leucorrhea, which is like rice washing water, turbid and has a foul odor. Sometimes it is mixed with blood and is light pink in color and in large amounts.

examine

1. Clue cell test: It is a method to check bacterial vaginosis.

2. pH value check: The normal female vagina is slightly acidic, which can prevent the reproduction of pathogenic bacteria. Once a woman has a bacterial infection, her pH level will increase.

3. Amine test: Amine test is performed on women's leucorrhea. If the reaction is positive, bacterial vaginosis can be diagnosed.

4. Fungal and Trichomonas examination: If there is a “+” on the examination sheet, it indicates that the patient has been infected with Trichomonas or fungi.

5. Vaginal cleanliness examination: Vaginal cleanliness examination is generally divided into four degrees. Grades Ⅰ to Ⅱ are normal, and grades Ⅲ to Ⅳ are abnormal leucorrhea.

Differential Diagnosis

1. Bloody leucorrhea, increased menstrual volume, prolonged menstrual period but normal cycle. It may be uterine fibroids, adenomyosis, or dysfunctional uterine bleeding. In addition, those who have an IUD may also have increased menstrual flow.

2. Irregular menstrual cycle with bloody leucorrhea. It is often functional uterine bleeding, but endometrial cancer should be ruled out first.

3. Long-term bloody leucorrhea. Most of them are malignant tumors of reproductive organs, such as cervical cancer, endometrial cancer, etc.

4. Leucorrhea contains blood after menopause. Women of childbearing age are more likely to have pregnancy-related diseases, such as miscarriage, ectopic pregnancy, hydatidiform mole, etc.; postmenopausal women are more likely to have malignant tumors.