Do you know who’s behind vaginal bleeding?

　　Vaginal bleeding is frequent female Frequently encountered problems. Some types of vaginal bleeding are physiological, such as normal menstruation, Postpartum The discharge of lochia, etc., is within the normal physiological scope and will not harm the body. healthy . Pathological vaginal bleeding is different. It is not only a physical disease A manifestation, and bleeding itself can also damage your health. Vaginal bleeding can come from the vulva, vagina, cervix, Uterus Endometrium, but most of them come from the uterus.

　　Abnormal vaginal bleeding has many causes, such as: ovarian endocrine dysfunction, abnormal pregnancy , tumors, reproductive tract inflammation, injury, foreign bodies, or systemic diseases, etc. Age has important reference value in identifying vaginal bleeding: young girls and menopause Vaginal bleeding in postpartum women (elderly women) is often associated with malignant tumors； For vaginal bleeding in adolescent women, dysfunctional uterine bleeding (abbreviated as functional bleeding) should first be considered. ； Women of childbearing age are more concerned about pregnancy-related diseases.

　　Vaginal bleeding can be broadly divided into the following types:

　　1. Increased menstrual flow, prolonged menstrual period but normal cycle. It is most likely caused by uterine fibroids, adenomyosis, or hemorrhage. In addition, those who use the IUD may also have increased menstrual flow.

　　2. Irregular vaginal bleeding during menstrual cycle. It is often due to functional bleeding, but endometrial cancer should be ruled out first.

　　3. Long-term vaginal bleeding. Mostly malignant tumors of reproductive organs, such as cervical cancer , endometrial cancer, etc.

　　4. Irregular bleeding after menopause. Women of childbearing age are more concerned about pregnancy-related diseases, such as miscarriage, Ectopic pregnancy , hydatidiform mole, etc.； Postmenopausal women are more likely to have malignant tumors.

　　5. Bleeding after sexual intercourse. Most of them are cervical erosion, cervical polyps, cervical cancer or submucosal fibroids.

　　6. Vaginal bleeding accompanied by leucorrhea. Late-stage cervical cancer and endometrial cancer accompanied by infection are often considered.

　　7. Paroxysmal vaginal bleeding. There is a possibility of primary fallopian tube cancer.

　　8. Intermenstrual bleeding. It occurs between two menstrual periods and lasts for 3-4 days. When the blood volume is very small, it is mostly ovulation bleeding.

　　9. Premenstrual and postmenstrual spotting. A small amount of bloody discharge a few days before or after menstruation is usually an indication of abnormal ovarian function, or it may be endometriosis.

　　first aid measure

　　1. For a small amount of bleeding, pay attention to the patient's mental condition, count the pulse rate, and let the patient stay in bed absolutely. Those who are pale and sweating should lower their heads, raise their feet, drink some light salt water, keep warm, and avoid overheating. Take some sedatives appropriately or take hemostatic drugs at the same time. Wait until your condition is stable before going to the hospital.

　　2. You can also put a cold water bag or ice pack on the lower abdomen and apply cold compress to stop bleeding. When feeling nauseous, turn your face to one side to prevent suffocation.

　　Things to note

　　1. If severe bleeding occurs, you should call a doctor or notify the emergency center as soon as possible, otherwise death may occur.

　　2. If the amount of bleeding is small, rest quietly at home for observation. Walking or riding at this time may cause the condition to worsen, so you can take him to the hospital for examination.