What's wrong with bleeding during gynecological examination

gynecological examination bleeding may be related to factors such as cervicitis, endometrial polyps, cervical polyps, uterine fibroids, cervical cancer, etc. It usually manifests as contact bleeding, irregular vaginal bleeding, and other symptoms. It is recommended to seek medical examination in a timely manner, identify the cause, and follow medical advice for treatment.

1. Cervicitis

Cervicitis is a common gynecological disease that may be related to factors such as bacterial infection and mechanical stimulation. During the gynecological examination, the patient may experience minor bleeding due to local mucosal damage caused by the instrument coming into contact with the cervix. Usually accompanied by symptoms such as increased vaginal discharge and lower abdominal pain. Medications such as Baofukang suppository, Xiaomi vaginal effervescent tablets, and anti uterine inflammation tablets can be used according to medical advice for treatment. Pay attention to perineal hygiene in daily life and avoid unclean sexual activity.

2. Endometrial polyps

Endometrial polyps may be caused by high estrogen levels and chronic inflammatory stimuli. Touching polyps with medical equipment during physical examination may cause bleeding, often manifested as menstrual bleeding and prolonged periods. Diagnosis can be made through hysteroscopy, and if necessary, hysteroscopic polypectomy can be performed. Medications such as progesterone capsules and dexamethasone tablets can be used to regulate hormone levels.

3. Cervical polyps

Cervical polyps are often caused by chronic inflammation and long-term stimulation, with fragile texture and easy bleeding. Touching polyps during gynecological examinations may cause contact bleeding, usually without pain. After diagnosis, polyp removal surgery can be performed, and postoperative pathological examination can rule out malignancy. After operation, traditional Chinese patent medicines and simple preparations such as Gynecological Qianjin Tablets and Jingangteng Capsules can be used for conditioning.

4. Uterine fibroids

When submucosal uterine fibroids protrude into the uterine cavity, bleeding may occur during physical examination due to instrument stimulation. Patients often experience symptoms such as increased menstrual flow and prolonged periods. According to the size of the fibroids, mifepristone tablets can be used to reduce the fibroids, or uterine fibroid removal surgery can be performed. Anemic patients need to take ferrous succinate tablets in combination to correct anemia.

5. Cervical cancer

Early stage cervical cancer may present as contact bleeding, and blood stains may appear on cervical scraping during physical examination. Persistent infection with high-risk HPV is the main cause, often accompanied by symptoms such as vaginal discharge and odor. Diagnosis should be confirmed through cervical biopsy, and surgery, radiotherapy, or chemotherapy should be selected based on the stage. Getting vaccinated against HPV can help prevent it.

Bleeding after gynecological examination should be taken seriously. It is recommended to avoid sexual activity and baths within 3 days, and keep the external genitalia clean and dry. Regular daily routine, appropriate exercise to enhance immunity, and regular gynecological examinations every year. If the bleeding is excessive or lasts for more than 3 days, timely follow-up should be sought to avoid vigorous exercise and heavy physical labor. The diet should be light, consume more vegetables and fruits rich in vitamin C, and avoid spicy and stimulating foods.