Bleeding inexplicably below

Bleeding inexplicably below

If female friends find that they have unexplained bleeding down there, they must go for a gynecological examination. This is a very serious symptom and may be caused by some gynecological diseases, but most of them are caused by malignant tumors, so it will seriously endanger the patient's life. It is best to treat it in the early stages, so that the treatment effect will be better.

When asking about the medical history, pay attention to the patient's age, as age is important in identifying vaginal bleeding. Newborn girls have a small amount of vaginal bleeding a few days after birth. This is because a sudden drop in estrogen from the mother causes withdrawal bleeding, which usually stops on its own within a few days. Vaginal bleeding in early childhood and after menopause should be considered as a malignancy. Vaginal bleeding in adolescent girls is often functional uterine bleeding. Vaginal bleeding in women of childbearing age should be considered to be related to pregnancy.

Ask about the age of menarche, menstrual cycle, menstrual period and menstrual blood volume before the onset of the disease. Whether there was 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.

Increased menstrual flow and prolonged menstrual period with normal cycle are generally seen in patients with uterine fibroids, adenomyosis, irregular endometrial shedding and intrauterine contraceptive device placement. Shortened cycles and frequent menstruation are mostly due to luteal insufficiency. A small amount of bleeding between two menstrual periods is mostly ovulation bleeding. 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.

Bleeding after sexual intercourse should be considered as early cervical cancer, cervical polyps, cervical erosion and submucosal myomas. Ask whether vaginal bleeding is accompanied by abdominal pain and its nature. Paroxysmal abdominal pain is common in miscarriage. Continuous severe abdominal pain suggests the possibility of ectopic pregnancy rupture. 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 submucosal myoma with infection.

Ask whether the patient has any systemic diseases such as hypertension, anemia, liver disease, thrombocytopenic purpura, etc. Find out whether the patient is taking sex hormone drugs including contraceptives, and whether an intrauterine contraceptive device is placed.

<<:  Why doesn't a woman bleed the first time?

>>:  What to do if you have toothache during pregnancy

Recommend

Gynecological inflammation, abdominal distension, and flatulence

After gynecological inflammation occurs, the pati...

Is it a good thing for an ectopic pregnancy to not bleed?

The baby grows inside the mother's uterus. If...

What is the reason for irregular menstruation? How to adjust it

Menstruation is relatively regular for female fri...

What is the cause of bleeding during pregnancy?

During pregnancy, especially in the early stages ...

The reason why women grow beards

Many female friends are very distressed about why...

How to wash the sheets that my period has left on them?

Women have menstruation every month. During menst...

Estrogen determines follicle quality

Follicle quality is very important for women, bec...

Things that pregnant women should avoid

We know that when your wife is pregnant, the surp...

What does a cyst on the right side of the uterus mean?

Ovarian cyst is a common malignant tumor of the f...

Will stretch marks disappear after giving birth?

Stretch marks will generally fade gradually or ev...

Is it normal to have your period after having sex?

Basically every woman should know her menstrual p...

How to measure the pelvis of pregnant women

Pregnant friends who are just preparing to give b...

What to do if your vulva is itchy during late pregnancy

It takes ten months for a woman to give birth to ...