The difference between bleeding and spotting after internal examination

Bleeding after internal examination and spotting are two different symptoms. Bleeding after internal examination is caused by the vaginal endoscope stimulating the uterine mucosa, thus causing vaginal bleeding. The amount of bleeding in this case is relatively small, while spotting is a preparation before delivery. Women will experience abdominal pain and heavy bleeding. We can clearly distinguish these two symptoms, but women with vaginal bleeding should pay attention to vaginal hygiene.

Bleeding after vaginal endoscopy is relatively small in amount and bright in color. It occurs right after the examination and generally does not require special treatment and will stop on its own. The bloody show before delivery is characterized by a large amount of discharge, which may be brown or pink in color, and is also accompanied by irregular uterine contractions, cervical dilation, and progressive shortening of the cervical canal. If this happens, it means that the baby is about to be born and she needs to be hospitalized. The above two types of bleeding can be distinguished through careful observation.

What is internal inspection?

Internal examination is also called internal diagnosis.

Internal examination is one of the routine gynecological examination methods. A speculum can be used to perform relevant vaginal examinations, or internal examination and triple examination of the vagina, etc., without obvious pain.

The role of internal inspection

1. The size, hardness, mobility, itching, pain, swelling or contact bleeding of the cervix.

2. The connection of the fetal head. When the fetal head is not engaged, we can understand the shape and size of the pelvis to estimate whether the fetal head can pass through the vagina and whether there are any problems with vaginal delivery. If the fetal head is engaged, the condition of the pelvis below the presenting part can be understood and the mode of delivery can be estimated.

3. Fetal head position. The fetal position, cervical dilation, and soft birth canal condition, which are difficult to determine through rectal examination, can be achieved through vaginal examination.

4. Find the cause of fetal asphyxia. Knowing whether the fetal head is obstructed, whether there is a birth tumor, whether the umbilical cord is occultly prolapsed, and whether the amniotic fluid is contaminated will help to deal with fetal intrauterine distress in a timely manner.

5. Find out the cause of vaginal bleeding. In the case of vaginal bleeding before and during delivery, anal examination cannot replace vaginal examination, which can confirm the diagnosis and formulate the correct treatment plan. However, please note that intravenous access should be opened before the examination, and preparations for blood transfusion and surgery should be made. Once the diagnosis is confirmed, the mode of delivery should be decided decisively. In particular, vaginal or anal examination is prohibited before placenta previa is eliminated.

6. Examination is necessary before surgical delivery. Before deciding on a surgical delivery, a detailed vaginal examination should be performed to understand the surgical indications and the difficulty of the operation and to prevent the occurrence of complications.

Can I have sex after a gynecological examination?

1. Depends on the actual situation. During the gynecological internal examination, different types of discomfort will be caused to the female body, but the time for these discomfort symptoms to disappear will be different for different women. Therefore, when the female body is still in the discomfort stage of the examination, try to avoid having sex, otherwise it will cause more discomfort during the intercourse process.

2. According to the inspection content. Because the female body structure is relatively complex, especially during the re-examination process, there may be some items that require entering the uterine cavity for examination. Then, this examination process will bring different types of physical effects to women, so they need to follow the doctor's advice and stop having sex for a period of time to avoid causing physical infection.

3. Normal examination does not affect sexual intercourse. If it is a routine repeat internal examination and there is no discomfort in the body, the gynecological examination will not affect normal sexual intercourse. However, during intercourse after the gynecological examination, the genitals must be kept clean and hygienic, and the body must be kept clean before and after sexual intercourse.