Is the residue excreted in the form of blood

Residual discharge may be accompanied by blood, mainly related to factors such as endometrial shedding, cervicitis, incomplete abortion, uterine fibroids, and coagulation dysfunction.

1. Endometrial shedding:

During menstruation, when the endometrium naturally sheds, residual menstrual blood and tissue mixed discharge may present as bloody. This condition is a normal physiological phenomenon, usually lasting for 3-7 days, and the amount of bleeding gradually decreases. If the bleeding lasts for more than 10 days or is accompanied by severe abdominal pain, pathological factors should be investigated.

2. Cervicitis:

Chronic cervicitis may lead to contact bleeding, with blood streaks mixed in the secretions. Cervical tissue is fragile under inflammatory conditions, and bloody discharge is prone to occur after gynecological examination or sexual activity. Common accompanying symptoms include increased vaginal discharge and lumbosacral pain, which need to be excluded through cervical TCT and HPV screening. 3. Incomplete abortion: After induced or natural abortion, residual pregnancy tissue in the uterine cavity may cause sustained bleeding. Dark red membranous substance can be seen in the blood, accompanied by paroxysmal lower abdominal pain. Ultrasound examination can determine the size of the residue. If it is less than 15 millimeters, medication can be used to promote expulsion, and if it is greater than 20 millimeters, curettage surgery is required.

4. Uterine fibroids:

When submucosal fibroids protrude from the uterine cavity, they may cause prolonged menstruation and bleeding during the menstrual period. The rupture of blood vessels on the surface of fibroids can lead to bloody secretions, and in severe cases, anemia symptoms may occur. When the diameter of fibroids exceeds 5 centimeters or causes obvious symptoms, hysteroscopy or laparoscopic surgery should be considered for resection.

3. Coagulation dysfunction:

Diseases such as thrombocytopenia and hemophilia can lead to coagulation abnormalities, manifested as excessive bleeding from wounds or abnormal uterine bleeding. This type of situation requires the completion of coagulation tests and platelet function testing, and if necessary, referral to a hematology department for specialized treatment.

Daily attention should be paid to observing the duration, color changes, and accompanying symptoms of bleeding. Avoid vigorous exercise and baths during menstruation, and keep the external genitalia clean and dry. After abortion, follow the doctor's advice to take uterine contraction promoting drugs such as Yimucao granules, and regularly check ultrasound. Anemic patients can supplement iron rich foods such as animal liver and spinach appropriately, and sexual activity is prohibited during bleeding. If the amount of bleeding exceeds twice the normal menstrual flow or lasts for more than 3 weeks, immediate medical attention should be sought to investigate organic lesions.