Cervical bleeding

Introduction Many women may experience bleeding when they have cervical inflammation. Some are sexual contact bleeding, some are irregular vaginal bleeding, some are vaginal discharge with bloodshot, and many women suffer from cervicitis. This is cervical bleeding. If the cervical bleeding is not treated in time, it will affect the woman's physical and mental health.

Cause

1, cervical erosion

Due to the discharge of more purulent secretions in the chronic inflammatory phase of the cervix, the epithelium of the external cervix is impregnated, causing it to lose vitality and form shedding and ulceration, which is a fine particle around the outer cervix that is often seen in clinical examinations. Glossy bright red area - cervical erosion.

2, cervical valgus

The cervix tears during childbirth, induction of labor, and miscarriage. If it is not repaired in time, the scar tissue will contract in the future and the cervix will be everted. If the infection is combined, chronic cervicitis is formed, and the leucorrhea is purulent and has contact bleeding.

3. Cervical polyps

Inflammation is a factor in the formation of polyps. The polyps derived from the mucosa of the uterine canal are soft, bright red, and are vulnerable to bleeding from polyps. They can be found during gynecological examinations. Larger polyps can cause increased vaginal discharge, bloody vaginal discharge or contact bleeding, especially after sexual activity or stool exertion. These symptoms are similar to early cervical cancer.

4. Cervical leukoplakia Cervical leukoplakia is a white opaque patchy lesion that appears in the ectocervix of the cervix. The cause is still not clear, and may be related to endocrine disorders, chronic stimulation of cervical inflammation, and the effects of vaginal trichomoniasis. In recent years, it has also been found that the occurrence of cervical leukoplakia may be related to the carcinogenic factors of cervical cancer. Simple uterine leukoplakia often has no obvious symptoms. If there is cervical erosion or cervical endometrial valgus, there will be an increase in vaginal discharge, or occasional vaginal blood secretions and contact bleeding.

5, cervical cancer, cervical cancer is one of the common cancers of the human body, contact bleeding may be one of the early symptoms of cervical cancer, often bleeding after sexual intercourse or vaginal examination; vaginal bleeding is extremely irregular, generally less After more or less time, there are also a large number of individual patients with initial bleeding, often caused by rupture of small arteries. Sometimes vaginal bleeding can also occur after forced bowel movements.

an examination

Related inspection

Hysterosalpingography, cervical mucus, pelvic and vaginal ultrasound

1, female vaginal examination: through the vaginal examination to observe the female's cervix. The main thing is to check the position, size, shape, secretions and so on of the cervix. Use these to determine if there is an abnormality in the cervix.

2. Probe inspection: This is also an essential check. Through the probe examination, you can know the direction of the cervix and understand whether the cervical canal is blocked.

3, hysterosalpingography: This is the most widely used examination, and the best way to check. It is the best way to check female infertility. For female cervical infertility examination, iodized oil angiography is usually used. Cervical lesions can be detected by angiography, and polyp tissues can be found in the cervix. And whether the cervix is bent.

4, the examination of cervical mucus: the final check is to check the female cervical mucus. The presence of mucus is essential for women's cervix, not only for the delivery of cervical nutrition, but also for the function of transporting sperm and eggs during female transport, which can be said to be very important for women. If the cervical mucus test is abnormal, it will also affect the normal birth of women.

Differential diagnosis

Cervical hemorrhage needs to be differentiated from the following:

1, systemic diseases: blood diseases, high blood pressure, liver disease and hypothyroidism.

2, pregnancy-related bleeding disorders: married women of childbearing age, such as uterine bleeding, should first consider abnormal pregnancy, such as abortion, ectopic pregnancy, hydatidiform mole. If secondary to postpartum or abortion, need to consider placental residue, placental polyps, uterine insufficiency, endometritis, choriocarcinoma.

3, genital tumors: common uterine organic diseases such as endometrial polyps, uterine muscle cancer; such as uterine bleeding after menopause, may be endometrial adenocarcinoma. In addition, ovarian functional tumors, such as granulosa cell tumors, follicular cell tumors, etc. can also cause uterine bleeding.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.