After menstruation, there is blood in the leucorrhea

Leucorrhea is a common phenomenon among women. Generally, leucorrhea occurs after menstruation. But not everyone's leucorrhea is normal. Many people will experience leucorrhea bleeding after their menstrual period. There are many reasons for this situation, such as functional uterine bleeding, contact bleeding, hydatidiform mole, or sexual intercourse, taking emergency contraceptive pills, all of which may cause leucorrhea bleeding.

1. Postmenstrual bleeding

In addition to physiological ovulation bleeding, postmenstrual bleeding is mostly pathological. For safety reasons, it is recommended to go to a regular hospital as soon as possible to diagnose the cause of bleeding in time to avoid missing the opportunity for early diagnosis and treatment. The main causes of postmenstrual bleeding are:

1. Functional uterine bleeding

It is common in clinical practice, manifested by irregular menstrual cycles, excessive menstrual flow, prolonged menstruation or irregular bleeding. The principle of treatment is to stop bleeding quickly, adjust and establish a normal menstrual cycle after stopping bleeding, and prevent recurrence.

2. Contact bleeding

Most of the time, there is vaginal bleeding after sexual intercourse, which is often related to gynecological diseases such as vaginitis, cervical erosion, cervical polyps, early cervical cancer, and submucosal fibroids.

3. Hydatidiform mole

If a woman who has had a hydatidiform mole experiences persistent vaginal bleeding again within two years after regular treatment, it may be an early symptom of a malignant hydatidiform mole and she must seek medical attention immediately.

4. Take emergency contraceptive pills

The impact of emergency contraceptive pills on menstruation is mainly manifested in changes in the menstrual cycle, which may be early or delayed. Especially for repeated users, it can cause menstrual disorders, bleeding, and continuous spotting.

2. Bleeding during intercourse after menstruation

Bleeding during intercourse after menstruation is a type of contact bleeding, which may be caused by the following situations:

1. Gynecological diseases cause bleeding

Bleeding during intercourse after menstruation is often related to gynecological diseases such as vaginitis, cervical erosion, cervical polyps, early cervical cancer, and submucosal fibroids. Women with these gynecological diseases need to be vigilant and seek medical attention as soon as possible if they experience bleeding after sexual intercourse.

2. Unclear menstrual blood

After the menstruation is over, there are still broken blood vessels and glandular ducts on the surface of the unrepaired uterine cavity, and the tiny blood vessels will still bleed. Having sex too early can stimulate the uterus and aggravate bleeding symptoms. It is not advisable to have sex during menstruation or right after menstruation to avoid uterine infection and gynecological diseases.

3. Ovulation bleeding

Women will enter the ovulation period a few days after menstruation, and ovulation bleeding is generally a physiological phenomenon. During ovulation, due to a temporary drop in estrogen levels, the endometrium loses hormonal support and some endometrial tissue is shed, causing regular vaginal bleeding. This type of bleeding is not heavy and usually lasts for half a day or 2-3 days, and no more than 7 days at most. It may be accompanied by slight back pain.

3. Bloody vaginal discharge after menstruation

Blood in leucorrhea after menstruation is usually caused by physiological or disease factors. Bloody leucorrhea after physiological menstruation refers to ovulation bleeding. If the amount of blood is not much and the bleeding lasts for 3-7 days and stops on its own, it is a normal symptom. Pathological leucorrhea with blood after menstruation is mostly caused by diseases such as vaginitis, cervical polyps, cervical tumors, etc.

In addition, sometimes due to the placement of an intrauterine contraceptive ring, there may be some blood mixed in the leucorrhea. However, it can improve after anti-inflammatory treatment, and most of the cases are sporadic. A very small number of hypertensive patients may occasionally have bloody vaginal discharge due to vascular sclerosis and rupture.