What Could Be the Reason for Sporadic Vaginal Bleeding?

Occasional vaginal bleeding may be associated with genital inflammation, uterine fibroids, endometriosis, endometrial cancer, cervical cancer, hypothalamic tumors, functional uterine bleeding, and other conditions.

1. Genital Inflammation: Inflammation of the vagina, uterus, and fallopian tubes can cause abnormal vaginal bleeding, such as bloody leucorrhea in cases of senile vaginitis. The main clinical manifestation of endometritis is also irregular vaginal bleeding.

2. Uterine Fibroids: The most common symptom of uterine fibroids is irregular vaginal bleeding, manifesting as menstrual disorders, shortened cycles, prolonged menstrual periods, and increased menstrual flow.

3. Endometriosis: Endometriosis often coexists with uterine fibroids or uterine adenomyosis. If ovarian tissue is damaged or endocrine abnormalities occur, it can cause abnormal vaginal bleeding.

4. Endometrial Cancer: The main manifestation of endometrial cancer is abnormal vaginal bleeding, which may be accompanied by foul-smelling bloody discharge when combined with infection.

5. Cervical Cancer: The most significant clinical manifestation of cervical cancer is contact vaginal bleeding, often presenting as bleeding after sexual intercourse.

6. Hypothalamic Tumors: Hypothalamic tumors can cause abnormal secretion of gonadotropin-releasing hormone, leading to abnormal vaginal bleeding through the gonadal axis.

7. Functional Uterine Bleeding: This refers to abnormal vaginal bleeding caused by endocrine abnormalities in the ovaries due to various reasons, despite the absence of organic uterine lesions.

It is necessary to undergo relevant hospital examinations, including B-ultrasound, sex hormone tests, gynecological examinations, and pelvic CT if necessary. After these examinations, the specific cause of vaginal bleeding can be determined, and targeted treatment can be provided accordingly. For minor bleeding, traditional Chinese medicine or local topical treatment may be prescribed. However, for excessive bleeding or abnormal bleeding in postmenopausal women, it is crucial to pay close attention and rule out the risk of various malignancies in the reproductive tract before proceeding with treatment. Therefore, it is essential to have a good understanding of the problem before encountering it to be able to respond promptly.