"What Should I Do About Abnormal Vaginal Bleeding?"

Abnormal vaginal bleeding is divided into pathological and physiological types. Physiological bleeding mainly occurs during ovulation and generally does not affect health, requiring no treatment. However, pathological vaginal bleeding should be taken seriously, and common causes include endocrine disorders, cervical erosion, cervical polyps, and other diseases. For abnormal vaginal bleeding caused by endocrine disorders, hormone tests should be conducted. If the abnormal vaginal bleeding is caused by cervical diseases, cancer should be ruled out.

There are many reasons for abnormal vaginal bleeding, which can occur between normal menstrual cycles, with changes in menstrual flow (increase or decrease), or bleeding when menstruation is not expected. Abnormal vaginal bleeding during pregnancy may indicate threatened abortion, embryonic arrest, placenta previa, or threatened premature delivery. It may also be caused by polycystic ovary syndrome, missed contraceptives, various pelvic organ inflammations, uterine fibroids, gynecological malignancies, psychological stress, environmental factors, and more.

Abnormal vaginal bleeding is not necessarily caused by cervical inflammation. It could also be due to cervical lesions or endocrine disorders. Additionally, irregular vaginal bleeding can occur in patients with gynecological malignancies or endometrial lesions. In such cases, the general approach is to go to the hospital to identify the cause of irregular vaginal bleeding and treat it accordingly based on the test results. After treatment, attention should be paid to genital hygiene to prevent infection. Irregular vaginal bleeding requires thorough examination in the hospital, including ultrasound, sex hormone testing, and cervical cancer screening to make a definitive diagnosis.