Is it Normal to Have a Little Blood Coming Out Below?

A small amount of bleeding may be normal, but it can also be an abnormal condition caused by acute or chronic endometritis. Whether vaginal bleeding is normal needs to be judged based on the specific time and situation. If bleeding occurs during ovulation, it is a normal phenomenon. Many women have bleeding during ovulation, which will return to normal within about three days. If vaginal bleeding occurs outside the ovulation period, it may be due to gynecological diseases such as endometritis, cervicitis, cervical polyps, etc. It is recommended to seek medical attention for proper treatment.

Endometritis refers to the inflammation that occurs when bacteria break through the defense of the cervix and invade the endometrium. Endometritis is one of the pelvic inflammatory diseases, which mostly occurs in sexually active women of reproductive age. It rarely occurs in women before menarche, without sexual activity, and after menopause. Mild cases may have no obvious symptoms or only have lower abdominal pain and increased vaginal secretions. Severe cases may have fever or accompanying digestive and urinary system symptoms. If not treated promptly and thoroughly, recurrent inflammation may lead to infertility, ectopic pregnancy, and pelvic inflammatory diseases.

Clinically, endometritis is divided into two types: acute endometritis and chronic endometritis. 1. Acute endometritis is characterized by the presence of microabscesses or neutrophils in the endometrial glands, manifesting as endometrial congestion, edema, and inflammatory exudates. In severe cases, the endometrium may necrosis and slough off, forming ulcers. 2. Chronic endometritis is characterized by the presence of varying numbers of plasma cells in the endometrial stroma.