When women experience vaginal bleeding, in addition to excluding normal menstrual bleeding, they should be vigilant when vaginal bleeding occurs at other times. For example, if vaginal bleeding occurs in the early stages of pregnancy, it may be due to ectopic pregnancy or symptoms of premature birth. In addition, if women have some gynecological diseases, vaginal bleeding may also occur. Let us learn about this aspect below. What's the matter with bleeding down there? 1. Ovarian endocrine dysfunction can cause uterine bleeding. In addition, the rupture of ovarian follicles during menstruation can cause a temporary drop in estrogen levels, which can also cause uterine bleeding. 2. Genital tumors, such as uterine fibroids, cervical cancer and endometrial cancer, can cause vaginal bleeding. 3. Uterine bleeding related to pregnancy, such as ectopic pregnancy, threatened abortion, miscarriage, etc. 4. Genital inflammation and trauma can cause vaginal bleeding; 5. Systemic diseases, such as abnormalities in platelet quantity and quality, coagulation dysfunction including thrombocytopenic purpura, aplastic anemia, liver damage, etc. can all cause vaginal bleeding. 6. Exogenous hormones, such as estrogen and progesterone, can cause "breakthrough bleeding" or "withdrawal bleeding". Common diseases 1. Vaginal bleeding in childhood should be considered as a possible cause of precocious puberty or reproductive tract malignancy. 2. Vaginal bleeding with pain in adolescence Pain in the vagina and vulva, accompanied by varying amounts of blood flowing out, may be caused by trauma. 3. A small amount of vaginal bleeding between menstrual periods in women of childbearing age may be ovulation bleeding, which is normal. 4. Vaginal bleeding after menopause Women with ectopic pregnancy also often experience vaginal bleeding after menopause, and it is often accompanied by dull pain in the lower abdomen and the bleeding time is also long. Therefore, it cannot be simply assumed that it is ovulation bleeding before pregnancy is confirmed. Miscarriage also has vaginal bleeding. 5. Contraceptive pills cause bleeding. Bleeding after taking contraceptive pills is called breakthrough bleeding. 6. Postmenopausal vaginal bleeding Vaginal bleeding 2 years after menopause. Attention should be paid to excluding malignant lesions, such as cervical cancer, endometrial cancer, etc., and then considering inflammation, polyps, endocrine factors, etc. 7. Incomplete uterine involution and puerperal infection Incomplete involution of the uterine placental attachment surface can cause thrombus detachment and reopening of blood sinuses, leading to uterine bleeding. Puerperal infection is most commonly endometritis, which can cause poor restoration of the uterine placental attachment surface and poor uterine contraction, as well as incomplete sinus closure leading to uterine bleeding. 8. Uterine bleeding caused by endometritis, myometritis, salpingitis, pelvic cellulitis, etc. 9. Genital tumors such as uterine fibroids, cervical cancer, endometrial cancer, ovarian cancer, etc. |
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