What is the reason for bloodshot leucorrhea after menstruation?

Blood-streaked leucorrhea after menstruation may be related to ovulation bleeding, vaginitis, cervical lesions, endometrial polyps, endocrine disorders and other factors. It is recommended to seek medical examination promptly and provide targeted treatment after the cause is determined.

1. Bleeding during ovulation

Leucorrhea with blood streaks appears 1-2 weeks after menstruation, which may be caused by a small amount of endometrial shedding caused by a brief drop in estrogen during ovulation. It usually lasts for 2-3 days, is small in amount and is brown in color, and may be accompanied by mild abdominal pain. It is recommended to keep the vulva clean, avoid strenuous exercise, and observe bleeding.

2. Vaginitis

Bacterial vaginosis or fungal vaginosis may cause congestion and damage to the vaginal mucosa. It is often accompanied by leucorrhea with peculiar smell, vulva itching, and the bleeding is small and pink. Routine leucorrhea examination is required, and Baofukang suppository, clotrimazole vaginal tablets or metronidazole vaginal gel can be used as directed by the doctor.

3. Cervical lesions

Cervical erosion, cervical polyps, or HPV infection may cause contact bleeding. Bleeding is mostly bright red and often occurs after sexual intercourse. TCT and HPV screening are required, and colposcopy is performed when necessary. Treatment options include recombinant human interferon α2b suppositories, Baofukang foam and other drugs.

4. Endometrial polyps

Polyp tissue is fragile and prone to bleeding, which may cause intermittent bleeding after menstruation. Ultrasound examination shows abnormal echoes in the uterine cavity, which may be accompanied by prolonged menstruation. Dydrogesterone tablets can be taken for smaller polyps, while hysteroscopic resection is required for larger polyps.

5. Endocrine disorders

Luteal insufficiency or polycystic ovary syndrome may cause intermenstrual bleeding. It is often accompanied by symptoms such as menstrual cycle disorders and acne. Six items of sex hormones need to be checked. You can use ethinyl estradiol cyproterone tablets or progesterone capsules as directed by your doctor to adjust your cycle.

Pay attention to recording the bleeding time and accompanying symptoms every day, and avoid using irritating lotions to clean the vulva. Wear cotton breathable underwear to avoid prolonged sitting and overexertion. If the bleeding lasts for more than 3 days or is accompanied by symptoms such as fever or worsening abdominal pain, seek medical attention immediately. Regular gynecological exams and cervical cancer screening can help detect lesions early.