Not bleeding during menstruation

There are many causes of abnormal vaginal bleeding

Such as: ovarian endocrine dysfunction, abnormal pregnancy, tumors, reproductive tract inflammation, injury, foreign bodies, or systemic diseases. Age is an important reference value for the identification of vaginal bleeding: vaginal bleeding in young girls and postmenopausal women (elderly women) is often considered to be malignant tumors; vaginal bleeding in adolescent women is first considered to be dysfunctional uterine bleeding (abbreviated as functional uterine bleeding); and women of childbearing age are often considered to have pregnancy-related diseases.

Vaginal bleeding can be roughly divided into the following types:

1. The menstrual volume increases and the menstrual period is prolonged but the cycle is normal. It may be uterine fibroids, adenomyosis, or dysfunctional uterine bleeding. In addition, those who have used an intrauterine device may also have increased menstrual flow.

2. Vaginal bleeding with irregular menstrual cycle. It is often functional uterine bleeding, but endometrial cancer should be ruled out first.

3. Long-term vaginal bleeding. Most of them are malignant tumors of reproductive organs, such as cervical cancer, endometrial cancer, etc.

4. Irregular bleeding after menopause. Women of childbearing age are more likely to be concerned about pregnancy-related diseases, such as miscarriage, ectopic pregnancy, hydatidiform mole, etc.; postmenopausal women are more likely to have malignant tumors.

5. Bleeding after sexual intercourse. Most of them are cervical erosion, cervical polyps, cervical cancer or submucosal myoma.

6. Vaginal bleeding with leucorrhea. It is often considered to be advanced cervical cancer or endometrial cancer with infection.

7. Paroxysmal vaginal bleeding. There is a possibility of primary fallopian tube cancer.

8. Intermenstrual bleeding. It occurs between two menstrual periods, lasts for 3-4 days, and when the amount of blood is very small, it is mostly ovulation bleeding.

9. Spotting before and after menstruation. A small amount of bloody discharge a few days before or after menstruation is usually due to ovarian dysfunction, but may also be endometriosis.

Other forms of vaginal bleeding:

1. If a newborn baby girl has a small amount of vaginal bleeding shortly after birth:

Most of the reasons are due to the sudden drop in estrogen and the shedding of the endometrium after leaving the mother's body, so mothers don't need to worry too much, but they still need to go to a regular hospital for examination, because diseases caused by problems such as uterine development cannot be ruled out.

2. Vaginal bleeding in young girls

The possibility of precocious puberty or genital tract malignancy should be considered. Vaginal bleeding in adolescent girls is mostly anovulatory dysfunctional uterine bleeding.

Treatment of vaginal bleeding

Treatment of vaginal bleeding generally depends on the underlying disorder causing the bleeding.