What causes vaginal bleeding in women?

Vaginal bleeding will cause serious harm to the bodies of many female friends if it is not during menstruation. Therefore, female friends must pay more attention to it, because it may be the cause of some gynecological diseases. Therefore, it is best to find out the cause of vaginal bleeding as soon as possible. So, what is the cause of vaginal bleeding in women?

Regarding the question of what is vaginal bleeding in women, let's first look at the causes of vaginal bleeding.

1. Bleeding related to inflammation

1. Vulvar bleeding is seen in vulvar ulcers, urethral caruncle, etc.

2. Vaginal bleeding is seen in vaginal ulcers, vaginitis, especially senile vaginitis, Trichomonas vaginitis, etc.

3. Cervical bleeding is seen in acute and chronic cervicitis, cervical erosion, cervical ulcer, cervical polyps, etc.

4. Uterine bleeding is seen in acute and chronic endometritis, chronic myometritis, acute and chronic pelvic inflammatory disease, etc.

2. Endocrine-related bleeding

Neonatal vaginal bleeding, bleeding related to contraceptive pills, dysfunctional uterine bleeding, intermenstrual bleeding, postmenopausal uterine bleeding, etc.

3. Pregnancy-related bleeding

Threatened abortion, incomplete abortion, ectopic pregnancy, placenta previa, placental abruption, hydatidiform mole, choriocarcinoma, etc.

Tumor-related bleeding

1. Irregular vaginal bleeding in young girls is seen in grape-like sarcoma.

2. Vaginal bleeding in middle-aged and older women is often caused by uterine fibroids.

3. Middle-aged or postmenopausal women with contact or irregular bleeding due to cervical cancer, endometrial cancer, functional ovarian tumors, etc.

5. Trauma-related bleeding

1. Bleeding caused by trauma.

2. Bleeding after sexual intercourse: seen in rupture of the hymen, vaginal wall or posterior fornix.

6. Bleeding related to systemic disease

It is seen in disseminated intravascular coagulation complicated by liver disease, aplastic anemia, thrombocytopenic purpura and gynecological diseases.

How to diagnose vaginal bleeding? Is there a history of amenorrhea before vaginal bleeding and the exact date of the last menstrual period? The duration of vaginal bleeding, whether it is continuous or intermittent irregular bleeding, the amount of bleeding and whether there is any accompanying tissue discharge.

1 When postmenopausal vaginal bleeding occurs in women of childbearing age, the first thing to think of is pregnancy-related diseases; if it occurs in menopausal women, it is mostly dysfunctional uterine bleeding. Irregular vaginal bleeding after menopause should be considered as a malignant tumor of the reproductive tract.

2 Bleeding after sexual intercourse should be considered as early cervical cancer, cervical polyps, cervical erosion and subtympanic myoma, etc.

3. Increased menstrual flow and prolonged menstrual period but normal cycle are generally seen in patients with uterine fibroids, adenomyosis, irregular endometrial shedding and those with IUD placement.

4 Shortened menstrual cycles and frequent menstruation are mostly due to luteal insufficiency. A small amount of bleeding between two menstrual periods is mostly ovulation bleeding.

5. Ask whether vaginal bleeding is accompanied by abdominal pain and its nature: paroxysmal abdominal pain is common in miscarriage, persistent severe abdominal pain indicates the possibility of ectopic pregnancy rupture, and severe pain during menstruation should be considered endometriosis. Vaginal bleeding with foul-smelling leucorrhea should be considered as a sign of advanced cervical cancer or subcervical myoma with infection.

6. Ask whether the patient has any systemic diseases such as hypertension, anemia, liver disease, thrombocytopenic purpura, etc.

7. Find out whether the patient is taking sex hormone drugs including contraceptives, whether an intrauterine contraceptive device is placed, etc.

After reading the above expert's detailed explanation of the causes of vaginal bleeding, I believe that everyone should now have a clearer understanding and knowledge of what causes vaginal bleeding in women. I hope that the above content can attract the attention of many female friends. Once you find that you have non-menstrual vaginal bleeding, you should go to a regular professional gynecological hospital for diagnosis and treatment in time.