Many women often suffer from various gynecological diseases and do not understand what is wrong with their bodies. Nowadays, many people often have vaginal bleeding. The symptoms of this bleeding are somewhat similar to menstruation. This situation is not menstruation. It is very likely due to abnormal vaginal bleeding. The causes of abnormal vaginal bleeding are mostly related to endocrine. It is not ruled out that it is due to pregnancy bleeding, inflammatory infection, and uterine bleeding, which requires special care. Causes Common symptoms in obstetrics and gynecology. Bleeding mainly comes from the uterine cavity, but can also come from the vulva, vagina, cervix, fallopian tube and other parts. 1. Endocrine-related bleeding Neonatal vaginal bleeding, bleeding related to contraceptives, dysfunctional uterine bleeding, intermenstrual bleeding, endocrine disorders such as menstrual disorders, postmenopausal uterine bleeding, etc. 2. Pregnancy-related bleeding Threatened abortion, incomplete abortion, ectopic pregnancy, placenta previa, placental abruption, hydatidiform mole, choriocarcinoma, retained placenta after delivery, etc. 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. Tumor-related bleeding Submucous uterine fibroids, cervical polyps, cervical cancer, endometrial cancer, fallopian tube cancer, etc. are all characterized by irregular bleeding. Certain ovarian tumors with endocrine function also often cause irregular vaginal bleeding. Postmenopausal bleeding should be particularly alert to tumors and should be carefully identified. 5. Bleeding related to contraception. Displacement of the contraceptive ring, improper use of contraceptive pills, etc. 6. Trauma-related bleeding 1. Bleeding caused by trauma. 2. What causes vaginal bleeding? Bleeding after sexual intercourse: It is seen in rupture of the hymen, vaginal wall or posterior fornix. 7. Bleeding related to systemic diseases It is seen in disseminated intravascular coagulation complicated by liver disease, aplastic anemia, thrombocytopenic purpura and gynecological diseases. Diagnosis 1. Medical history 1. When asking about the medical history, pay attention to the patient's age, which is important for identifying vaginal bleeding. (1) Newborn girls may have a small amount of vaginal bleeding in the first few days after birth. This is because a sudden drop in maternal estrogen causes withdrawal bleeding, which usually stops on its own within a few days. (2) Vaginal bleeding in early childhood and after menopause should be considered as a malignant tumor. (3) Vaginal bleeding in adolescent girls is often functional uterine bleeding. (4) Vaginal bleeding in women of childbearing age should be considered to be related to pregnancy. |
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