What does it mean if there's bleeding when administering medication to the uterus?

Bleeding after placing medication in the uterus may be due to physiological factors or pathological conditions such as vaginitis or cervicitis. It is recommended to treat based on the underlying cause. Specific analysis is as follows:

I. Physiological Factors

If the medication used is highly irritating, it may stimulate and damage the endometrium, leading to bleeding. In most cases, no special treatment is required—simply stopping or switching the medication can resolve the issue.

II. Pathological Factors

1. Vaginitis

In patients with vaginitis, the vaginal mucosa is already irritated. Inserting medication may further aggravate mucosal damage, resulting in bleeding. It is recommended to discontinue the medication and visit a hospital for secretion testing. Treatment should target the specific pathogen—for example, bacterial vaginosis can be treated with metronidazole tablets, tinidazole tablets, or clindamycin capsules under medical guidance to combat anaerobic bacteria and relieve symptoms.

3. Cervicitis

In patients with cervicitis, inflammatory stimulation can lead to erosion of the cervical mucosa. Placing medication in the uterus may worsen this erosion and cause bleeding. It is recommended to use antibiotics such as azithromycin tablets, doxycycline tablets, or moxifloxacin tablets under a doctor's supervision to eliminate pathogens and alleviate symptoms.

In addition, conditions such as cervical polyps, uterine fibroids, or ovarian cysts may also cause bleeding after uterine medication placement. Patients are advised to promptly seek medical evaluation to determine the exact cause through appropriate examinations.