What does it mean when there is sudden bleeding?
May 14, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
Sudden vaginal bleeding may be a normal physiological phenomenon, but it could also be related to pathological factors such as dysfunctional uterine bleeding, ectopic pregnancy, acute or chronic cervicitis, cervical polyps, and cervical precancerous lesions, which are among the main causes of vaginal bleeding. It is recommended to visit a gynecology department at a hospital as early as possible for diagnosis, cooperate with the doctor in relevant examinations, and receive targeted treatment based on the identified cause.
Sudden vaginal bleeding may be a normal physiological phenomenon, but it could also be related to pathological factors such as dysfunctional uterine bleeding or ectopic pregnancy. It is recommended to identify the underlying cause before initiating treatment. The specific analysis is as follows:
I. Non-disease factors
If sudden vaginal bleeding occurs close to the menstrual period, it may be due to an early onset of menstruation, which is considered a normal occurrence. Vaginal bleeding that happens a few days between two menstrual cycles may be associated with hormonal withdrawal of estrogen and progesterone during ovulation, sometimes resulting in slightly heavier bleeding. In such cases, timely medical evaluation at a hospital is advised.
II. Disease-related factors
1. Dysfunctional uterine bleeding
This condition is usually caused by endocrine disorders. Withdrawal of estrogen and progesterone leads to necrosis and shedding of the endometrium, resulting in bleeding. The main symptoms include irregular menstruation and, occasionally, heavy bleeding. Patients should follow medical advice and may be prescribed medications such as tranexamic acid tablets, dydrogesterone tablets, or conjugated estrogens tablets. In some cases, dilation and curettage (D&C) may be necessary to achieve rapid hemostasis.
2. Ectopic pregnancy
Conditions including threatened abortion, incomplete abortion, ectopic pregnancy, placenta previa, and placental abruption may lead to endometrial detachment and subsequent vaginal bleeding. Under medical guidance, methotrexate tablets may be used to terminate early ectopic pregnancies. Surgical intervention may be required when necessary to remove the embryo.
In addition, acute or chronic cervicitis, cervical polyps, and cervical precancerous lesions are also common causes of vaginal bleeding. It is recommended to visit a gynecology department at a hospital as early as possible for diagnosis, undergo relevant examinations as advised by the physician, and receive targeted treatment based on the identified cause.
