Why am I experiencing bleeding again a few days after my menstrual period has ended?

    Bleeding again a few days after the menstrual period has ended may be caused by ovulation bleeding, medication effects, endometritis, dysfunctional uterine bleeding, or cervical polyps. Appropriate management can be chosen based on specific circumstances. If physical discomfort occurs, it is recommended to promptly visit a hospital for diagnosis and follow medical advice for treatment.

    1. Ovulation bleeding: During ovulation, a temporary drop in estrogen levels may cause partial shedding and bleeding of the endometrium. The bleeding is usually light and lasts for 1–3 days. No special treatment is generally required; rest and avoiding strenuous exercise and excessive fatigue are recommended.

    2. Medication effects: For example, contraceptive use can affect hormone levels in the body, disrupting the normal menstrual cycle and causing bleeding after menstruation has ended. Frequent use of emergency contraceptives should be avoided. If the bleeding lasts a long time or is heavy, prompt medical attention is advised.

    3. Endometritis: Infection of the endometrium by pathogens such as bacteria causes inflammation, which leads to irregular shedding and bleeding of the endometrium, often accompanied by symptoms such as abdominal pain and abnormal vaginal discharge. Patients may follow medical advice to use anti-inflammatory medications such as cefixime dispersible tablets, metronidazole tablets, and Fuyan Qianjin tablets to alleviate symptoms.

    4. Dysfunctional uterine bleeding: Hormonal imbalances affect the normal growth and shedding of the endometrium, leading to irregular menstrual cycles, prolonged menstrual periods, and variable menstrual flow. Patients may follow medical advice to use medications such as estradiol valerate tablets, dydrogesterone tablets, and Baogong止血颗粒 (Bao Gong Zhi Xue granules) to relieve symptoms.

    5. Cervical polyps: Long-term chronic inflammation causes localized hyperplasia of the cervical mucosa, forming fragile polyps that bleed easily. This may manifest as light vaginal bleeding after the menstrual period ends, sometimes accompanied by increased vaginal discharge. It is recommended to consider surgical removal of the polyps under medical guidance based on their size and associated symptoms. Postoperative use of medications such as Yunnan Baiyao capsules may help alleviate symptoms.

    It is recommended to adjust lifestyle habits, relax, and ensure adequate sleep to promote recovery. Maintaining a light diet is also beneficial for healing.

    References:

    [1] Peng Jieru, Liu Liping. Clinical Efficacy of Estradiol Valerate Combined with Progesterone Sequential Therapy in the Treatment of Dysfunctional Uterine Bleeding and Its Impact on Menstruation[J]. Chinese Journal of Rational Drug Use, 2021, 14(30): 159-161. DOI:10.15887/j.cnki.13-1389/r.2021.30.056.

    [2] Chen Haiyan, Chen Xin, Rong Jianchuang. Study on the Efficacy of Medication in Treating Vaginal Bleeding and Menstrual Disorders after Medical Abortion[J]. Practical Journal of Gynecologic Endocrinology (Electronic Edition), 2018, 5(30): 37+39. DOI:10.16484/j.cnki.issn2095-8803.2018.30.018.