What are the reasons for bleeding after intercourse three months following a cone biopsy procedure?
Sexual intercourse, also known as coitus, may lead to bleeding three months after conization surgery due to various reasons such as excessive force, incomplete wound healing, cervicitis, vaginitis, or endometrial polyps. Treatment should be based on the specific cause, with detailed analysis as follows:
1. Excessive Force
Excessive force during sexual intercourse can cause trauma to the vagina, resulting in bleeding. It is advisable to reduce the frequency of intercourse and maintain proper vaginal hygiene to prevent infection.
2. Incomplete Wound Healing
If local care is inadequate after conization, leading to infection, or if the individual has a weak constitution causing delayed wound healing, engaging in sexual activity may irritate the wound and cause bleeding. Personal hygiene should be maintained, and consumption of irritating foods should be avoided.
3. Cervicitis
Inflammatory reactions in the cervix can irritate the cervical mucosa, potentially causing mucosal damage and bleeding when stimulated. Under medical guidance, medications such as cefaclor tablets or metronidazole tablets may be used for treatment.
4. Vaginitis
Vaginitis refers to vaginal inflammation. After conization, poor vaginal hygiene may allow bacteria to enter and trigger an inflammatory response, leading to conditions like vaginitis, which can cause vaginal bleeding, pain, and itching—resulting in the aforementioned symptoms. Patients may use medications such as tinidazole suppositories or clotrimazole suppositories under medical supervision. Additionally, dietary adjustments are recommended, including avoiding spicy and irritating foods.
5. Endometrial Polyps
Endometrial polyps are a common gynecological condition, often associated with elevated estrogen levels or chronic gynecological inflammation. Common symptoms include heavy menstrual bleeding, irregular menstruation, and increased discharge, and they may also contribute to post-coital bleeding. Typically, patients can undergo hysteroscopic polypectomy at a正规 hospital for effective treatment.
In addition to the above causes, cervical cancer may also lead to irregular vaginal bleeding. Therefore, individuals experiencing these symptoms should seek timely medical evaluation and treatment at a正规 medical facility.