How is vaginal contact bleeding caused?

Generally, vaginal contact bleeding is mainly caused by ovulation bleeding, post-coital bleeding, vaginitis, cervical polyps, uterine fibroids, and other similar reasons. If discomfort occurs, timely medical consultation is recommended. Detailed analysis is as follows:

1. Ovulation Bleeding

Ovulation bleeding occurs when the follicle ruptures during ovulation, causing a small amount of blood to enter the abdominal cavity and subsequently discharge through the vagina. This type of bleeding is usually light, pale in color, and short in duration. No specific treatment is generally required; observation alone is sufficient.

2. Post-Coital Bleeding

During sexual intercourse, vaginal mucosa may become damaged due to friction, especially when vaginal lubrication is insufficient. Additionally, cervical inflammation or injury may also cause bleeding during intercourse. Improving sexual quality, using lubricants, and reducing friction during intercourse can help prevent such injuries.

3. Vaginitis

Frequent sexual activity is a primary cause of vaginitis. When a woman develops vaginitis, congestion and edema may occur in the genital organs. Sexual intercourse may cause friction leading to vaginal wall lacerations and subsequent bleeding. Symptoms such as frequent urination and painful urination may also appear. Patients can take medications such as metronidazole tablets, clindamycin hydrochloride capsules, and ornidazole tablets under the guidance of a professional physician.

4. Cervical Polyps

Cervical polyps are often associated with chronic inflammation and cervical infections. These polyps are soft and fragile, and may cause vaginal bleeding when stimulated, such as during sexual activity. Symptoms such as abnormal vaginal discharge and menstrual irregularities may also accompany this condition. It is recommended to follow medical advice and use medications such as compound seabuckthorn seed oil suppositories, Jink capsule, and Guizhi Fuling丸 (Guizhi Fuling pills) for treatment.

5. Uterine Fibroids

Uterine fibroids are benign tumors formed by the proliferation of uterine smooth muscle cells. They may compress the endometrium or alter the shape of the uterus, affecting the normal shedding of the endometrium and leading to menorrhagia or vaginal contact bleeding. Symptoms such as persistent urinary frequency and urgency may also occur. Patients may take medications such as mifepristone capsules, danazol capsules, and tamoxifen citrate tablets under a physician's guidance. If symptoms are severe or the fibroid is large, surgical treatment such as myomectomy or hysterectomy may be considered.

Women should generally avoid consuming spicy and irritating foods and beverages to prevent exacerbation of inflammation and bleeding.