What causes bloodshot leucorrhea after menstruation?

Blood-streaked leucorrhea after menstruation may be related to ovulation bleeding, vaginitis, cervicitis, endometrial polyps, cervical cancer and other factors. Blood-streaked leucorrhea usually manifests as a small amount of blood mixed in the vaginal secretions, which may be pink or brown in color. It is recommended to seek medical advice promptly for a clear diagnosis.

1. Bleeding during ovulation

Bloodshot leucorrhea that appears 7-10 days after menstruation may be ovulation bleeding. Partial shedding of the endometrium due to a brief drop in estrogen levels usually lasts for 2-3 days, with little bleeding and no other discomfort. Observe rest and avoid strenuous exercise. If it occurs frequently or the amount of bleeding is large, pathological factors need to be ruled out.

2. Vaginitis

Bacterial vaginosis or fungal vaginosis may cause congestion and damage to the vaginal mucosa. It is often accompanied by odorous secretions and vulvar itching. When using metronidazole vaginal effervescent tablets, clotrimazole vaginal tablets and other drug treatments, you must follow the doctor's advice. It is necessary to keep the perineum clean every day and avoid wearing tight chemical fiber underwear.

3. Cervicitis

Patients with chronic cervicitis are prone to contact bleeding when the cervical columnar epithelium migrates outward. Bloody leucorrhea may occur after intercourse, and cervical erosion-like changes may be seen on gynecological examination. You can use Baofukang suppositories, interferon suppositories and other drugs as directed by your doctor, and perform cervical freezing or laser treatment if necessary.

4. Endometrial polyps

Polyp tissue is fragile and prone to bleeding, which may lead to prolonged menstruation or intermenstrual bleeding. Ultrasound examination shows a hyperechoic mass in the uterine cavity, and hysteroscopy is the gold standard for diagnosis. Smaller polyps can be treated with progesterone capsules, and hysteroscopic resection is required if the diameter exceeds 1 cm.

5. Cervical cancer

In the early stage, it may only present with occasional bloody leucorrhea, while in the later stage, there may be foul-smelling discharge or massive bleeding. HPV infection is the main cause, and TCT and colposcopy biopsy can confirm the diagnosis. Cervical conization or extensive hysterectomy is chosen based on the stage, and regular follow-up is required after surgery.

It is recommended to record the bleeding time, color and accompanying symptoms, and avoid using irritating vaginal washes. Maintain a regular schedule and take appropriate amounts of iron-containing foods such as animal liver, spinach, etc. Women over 40 years old should undergo cervical cancer screening every year. If symptoms such as persistent bleeding, abdominal pain or fever require immediate medical attention.