Gynecological disease leucorrhea with blood, what is going on

Bloody vaginal discharge is a common phenomenon among women. Leucorrhea bleeding can be divided into pathological and physiological. Physiological leucorrhea bleeding generally refers to the menstrual period. In addition, some women also experience ovulation bleeding. Physiological bleeding does not require treatment, but pathological bleeding means a gynecological disease and requires active treatment. Let us analyze why bloody vaginal discharge occurs in cases of gynecological diseases.

Leucorrhea is a barometer of women's health. Normal and healthy leucorrhea is milky white or colorless and transparent, with a slightly fishy smell or no smell. Once there is any abnormality in leucorrhea, female friends should pay attention, especially when the leucorrhea contains blood, you should be more careful and vigilant! So, what gynecological diseases does bloody leucorrhea mean? Let's learn the following content together.

Physiological bloody leucorrhea

Generally speaking, some women will experience ovulation bleeding during their ovulation period, also known as mid-menstrual bleeding, which refers to a small amount of bleeding between two normal menstrual periods, which may be accompanied by varying degrees of lower abdominal pain. If the symptoms are mild, no treatment is needed. If the bleeding is heavy or affects fertility, medication can be used for treatment.

Ovulation bleeding occurs when the ovulation of the follicle causes fluctuations in hormone levels in the body, leading to the shedding of the endometrium and causing bleeding. The amount is usually small and not easy to detect. In this case, a gynecological examination is required to rule out inflammation, endometrial lesions, tumors, etc. Generally, no treatment is required, and symptomatic treatment is only required when bleeding is heavy. In a normal woman's menstrual cycle, the 12th to 14th day is the date of ovulation. At this time, due to the rupture of the follicle and the fluctuation of estrogen, the vascular permeability changes and red blood cells leak out of the blood vessels, causing a small amount of vaginal bleeding. This is the ovulation bleeding phenomenon.

Pathological bloody leucorrhea

Leucorrhea is a normal physiological phenomenon of women. It may seem insignificant, but it is a major signal of women’s health. Women should be alert to the appearance of bloody leucorrhea. The appearance of colored leucorrhea will not make your life colorful, but on the contrary make it dull. If bloody leucorrhea occurs, you should also consider the possibility of the following diseases:

1. Cervical polyps: Cervical polyps are a manifestation of chronic cervicitis. There is a type of polyp whose root is attached to the cervical opening or the cervical canal. It is a local hyperplasia of the cervical mucosa under inflammatory stimulation, protruding outward from the external opening of the cervix. The surface of the polyp is covered by a layer of columnar epithelium, which contains cervical glands. The stroma is rich in microvessels and loose connective tissue, accompanied by inflammatory cell infiltration. This type of polyp can be single or multiple. It is generally small in size, with a diameter of less than 1 cm. It is tongue-shaped, bright red in color, soft and brittle in texture, and has a slender pedicle that is prone to bleeding.

2. Acute vaginitis: Vaginitis bleeding is mainly due to the invasion of pathogens such as Trichomonas or fungi on the vaginal wall and cervical tissue, resulting in severe edema. In cases of Trichomonas vaginitis, scattered bleeding spots or strawberry-shaped protrusions can be seen on the vaginal wall, so vaginitis bleeding is more likely to occur, especially when there is external force or stimulation. The vaginal wall of candidal vaginitis is eroded or superficial ulcerated, which can also easily cause vaginitis bleeding.

3. Cervical erosion: One of the most common clinical phenomena of cervical erosion is blood in the leucorrhea. Some patients with cervical erosion will find blood in their leucorrhea when the cervical erosion is severe. Sometimes contact bleeding and irregular vaginal bleeding will occur after sexual intercourse.

4. Uterine diseases: Uterine submucosal fibroids, cervical cancer, and endometrial cancer may all cause leucorrhea.

In addition, senile vaginitis or intrauterine contraceptive ring placement may also cause some blood in the leucorrhea. Bloody leucorrhea, with blood mixed in the leucorrhea, should alert you to the possibility of malignant tumors such as cervical cancer and endometrial cancer. However, small amounts of bloody leucorrhea caused by cervical polyps, cervical erosion, submucosal fibroids, dysfunctional uterine bleeding, urethral caruncle, and intrauterine contraceptive devices are also common.

How to judge whether your leucorrhea is healthy

Leucorrhea is a unique secretion from the female private parts, which can reflect the health status of the female private parts, uterus and ovaries. If your vaginal discharge is abnormal, it means that you have a health problem in some aspect. At this time, you should go for a check-up!

Healthy leucorrhea should be white and odorless, and is usually more common before and after menstruation, during ovulation and pregnancy. Light yellow or white vaginal discharge is normal. In addition, if the white and transparent leucorrhea sticks to the underwear, it will turn yellow after drying, which is also normal. The amount of vaginal discharge varies from person to person, and it usually increases after ovulation.

Under certain conditions, such as stress, illness or when taking antibiotics, vaginal discharge can sometimes increase and may have an odor, but it is not irritating and usually "heals" on its own without treatment. Whether leucorrhea is healthy or not can be judged by its color, smell, and amount.

1. Color: The leucorrhea is yellow, grayish yellow or yellow-green, mixed with foam like rice soup, which may cause itching or burning sensation in the vagina or vulva; it is milky white coagulated small pieces, like tofu dregs, and sometimes the vulva is also covered with a white film-like substance that is not easy to wipe off; there is blood mixed in the leucorrhea, and the amount of blood is uncertain; it is like pus, yellow or yellow-green, and sticky like snot. If your leucorrhea shows any of the above symptoms, it is abnormal and needs to be checked as soon as possible.

2. Smell: Normal leucorrhea is odorless. If it has a fishy or other foul smell, you should be alert to gynecological diseases.

3. Quantity: Generally, the amount of leucorrhea will only increase a few days before and after the menstrual period. If the amount of leucorrhea suddenly increases, even wetting the crotch of your underwear, you must get checked. There are many reasons for the increase of leucorrhea, such as foreign objects in the vagina, contraceptive devices in the uterus, cervical erosion, bacteria, fungi or vaginal Trichomonas infection, and filterable virus infection, etc., all of which can lead to an increase of leucorrhea.

The above is the answer to the question about what causes bloody leucorrhea in gynecological diseases. For female friends, it is necessary to learn the basic knowledge of gynecology and have a good understanding of leucorrhea. It is recommended that women observe whether their leucorrhea is normal. Once vaginal bleeding occurs during menstruation, it should be treated promptly to prevent the situation from getting worse.