What causes a discomforting, downward sensation in the lower abdomen and bleeding after intercourse, and what should be done about it?
May 31, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
Discomfort and heaviness in the lower abdomen, along with post-coital bleeding, may be related to conditions such as cervicitis, endometritis, or uterine fibroids. Treatment options include medication or surgical interventions. In addition to these common causes, endometriosis and cervical polyps may also be contributing factors. Patients should seek medical evaluation at a hospital to determine the underlying cause and receive standardized treatment accordingly.
The lower abdomen, commonly referred to as the "lower belly," may feel uncomfortable or heavy, and post-coital bleeding could be related to conditions such as cervicitis, endometritis, or uterine fibroids. These conditions can be treated with medications, surgery, or other interventions. A detailed analysis is as follows:
1. Cervicitis
Inflammation of the cervix can cause congestion and swelling of cervical tissues. If the congested area ruptures, it may lead to bleeding. Patients may take medications such as clarithromycin capsules or levofloxacin hydrochloride tablets under medical guidance.
2. Endometritis
If there is inflammation in the endometrium (lining of the uterus), it may cause blood vessels in the endometrium to dilate, making them more prone to bleeding when stimulated. Patients may be prescribed medications such as metronidazole tablets or clindamycin hydrochloride capsules under a doctor's supervision.
3. Uterine Fibroids
Uterine fibroids are common benign tumors arising from the smooth muscle of the uterus. If blood vessels on the surface of the tumor rupture, bleeding may occur. Treatment options include procedures such as uterine artery embolization or myomectomy, performed under medical guidance.
In addition to the above common causes, post-coital bleeding may also be associated with endometriosis, cervical polyps, or cervical cancer. Patients should seek medical evaluation at a hospital to determine the underlying cause and receive standardized treatment accordingly.
