Post Date June, 10 2023
A while ago, I met a woman patient in her 30s who had come to see a cold. When I finished reading, I used to ask her if she had any other questions. She asked me if I would see gynecological diseases. I learned from Takeshi Kaneshiro and said "a little" in Chibi, so the patient said that her vagina would bleed every time she had sex recently, not much, but only after sex. It didn't hurt during sex, and there was no pain or vaginal bleeding, My menstrual cycle is normal, and there is no abnormal vaginal discharge. This situation has been around for about six months and has not happened before.
The patient said that she had undergone some relevant gynecological examinations a while ago and everything was basically normal. The ultrasound of the uterus said there was no problem, and the cervical smear test was normal. However, the doctor said she had "cervical erosion" and asked her to go back for a follow-up examination. In addition, she and her husband are in good health, and he has no symptoms of urethral bleeding. Because they wanted to get pregnant, they didn't use contraception or condoms, didn't know if there was blood in their semen, and didn't pay special attention.
Where does this blood come from? Because it only occurs during sexual intercourse, both men and women may experience bleeding.
The male partner should consider having blood from the semen, which is an occasional symptom. It is usually caused by the rupture of microvessels in the urethra, which leads to bleeding, usually only with bloodstains, without pain or itching, and is not a major concern. People who only experience this condition as they get older may need to consider other symptoms, but young people generally recover from this condition and do not need to deal with it.
There are many reasons for a woman's bleeding, and lesions in the vaginal wall, cervix, and uterus can all lead to vaginal bleeding. If it is only sexual intercourse, it may be that something is rubbed or collided by the frot to cause bleeding.
The main causes of bleeding after sexual intercourse are:
1. Cervical cancer, which is prone to bleeding due to cervical lesions
2. Cervical polyps, which are benign and prone to bleeding
3. Cervical erosion is also a benign cervical phenomenon. Personally, I think the term 'erosion' should be changed because it often leads to unnecessary worries and unnecessary treatment for patients, which is not appropriate.
4. Cervicitis, which is usually caused by bacterial infections, causing an increase in vaginal secretions and occasional bleeding.
This patient only had a cervical smear recently and the results were normal, so cervical cancer should not be her cause. She usually does not have abnormal vaginal discharge or pelvic pain, so the chances of cervical inflammation are not high. She has been diagnosed with cervical erosion before, which may be the cause.
