What does it mean if there's blood only when wiping during menstruation?
May 14, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
If menstrual blood only appears when wiping with paper, it indicates a relatively low menstrual flow. This may be caused by non-disease factors, but could also be related to certain medical conditions such as intrauterine adhesions, endometritis, endometrial tuberculosis, uterine hypoplasia, hyperthyroidism, hypothyroidism, or severe anemia. It is recommended to visit a hospital gynecology department for diagnosis, identify the underlying cause, and follow medical advice for targeted treatment.
Menstrual bleeding that only appears when wiping with paper indicates a relatively light menstrual flow. This may be caused by non-disease-related factors, but could also be related to certain medical conditions such as intrauterine adhesions or endometritis. It is recommended to identify the underlying cause and receive appropriate treatment accordingly. The specific analysis is as follows:
I. Non-disease factors
Long-term smoking, excessive alcohol consumption, extreme dieting for weight loss, eating raw or cold foods, exposure to cold temperatures, or taking certain suspicious medications may lead to decreased estrogen levels, resulting in reduced menstrual flow—sometimes only evident upon wiping. It is advisable to correct these unhealthy habits and make daily lifestyle adjustments to help improve the condition.
II. Disease-related factors
1. Intrauterine adhesions
Injury to the endometrium may cause partial or complete blockage of the cervical canal, leading to reduced menstrual flow and dysmenorrhea (painful menstruation). Prompt medical consultation is recommended. Treatment should follow medical advice and may include medications such as aspirin enteric-coated capsules, metronidazole tablets, or levofloxacin hydrochloride capsules, or procedures such as intrauterine device placement or balloon dilation.
2. Endometritis
This is a common gynecological condition in clinical practice. During the disease, the endometrium becomes congested, swollen, and infiltrated with inflammatory cells, which interferes with normal endometrial shedding and leads to decreased menstrual flow. The cause of endometritis is usually clear—most often due to bacterial infection. Primary treatment involves anti-infective medications, such as doxycycline hydrochloride tablets, clindamycin hydrochloride capsules, and metronidazole tablets, which can eliminate the bacteria causing the infection.
In addition, other conditions such as endometrial tuberculosis, uterine hypoplasia, hyperthyroidism, hypothyroidism, and severe anemia may also cause similar symptoms. It is recommended to seek timely evaluation at a hospital's gynecology department for accurate diagnosis, identification of the underlying cause, and subsequent treatment according to medical guidance.
