What should I do if I experience bleeding again 6 days after my menstrual period has ended?

Generally, bleeding again six days after menstruation has ended may be caused by ovulation bleeding, irregular lifestyle, vaginitis, cervicitis, endometrial polyps, or other reasons. It is recommended to seek medical attention promptly, identify the underlying cause, and receive appropriate treatment under a doctor's guidance. Specific analyses are as follows:

1. Ovulation bleeding: Six days after the end of menstruation usually falls within the ovulation period. A temporary drop in estrogen levels can lead to slight shedding of the endometrium, resulting in light bleeding. The amount of blood is typically small and lasts for 1–3 days. Resting adequately and maintaining good external genital hygiene usually suffices, and no special treatment is required.

2. Irregular lifestyle: Recent habits such as staying up late, high stress, intense physical activity, or consuming spicy foods may disrupt the endocrine system and cause abnormal bleeding. Adjusting daily routines, avoiding late nights and strenuous exercise, eating a light diet, and maintaining emotional stability often help gradually alleviate symptoms.

3. Vaginitis: Inflammation caused by bacterial or fungal infections of the vagina may irritate and damage mucosal tissues, leading to bleeding, often accompanied by itching and abnormal vaginal discharge. Treatment may include medications such as metronidazole suppositories, clotrimazole suppositories, or tinidazole vaginal effervescent tablets, used according to medical advice.

4. Cervicitis: Infection of the cervix by pathogens leads to inflammation. The cervical mucosa becomes congested and fragile, making it prone to contact-related or spontaneous bleeding, often accompanied by increased discharge with an unpleasant odor. Treatment should be guided by a physician and may involve antibiotics such as azithromycin capsules, cefixime dispersible tablets, or doxycycline hydrochloride tablets.

5. Endometrial polyps: Localized overgrowth of the endometrial tissue forms polyps. The surface blood vessels of these polyps are fragile and prone to bleeding, which may also be associated with prolonged menstrual periods or heavier menstrual flow. Small polyps may be managed with hormonal medications such as progesterone soft capsules, dydrogesterone tablets, or norethisterone tablets, under medical supervision. Larger polyps or cases with recurrent bleeding may require hysteroscopic removal of the polyps to stop bleeding and prevent recurrence.

In daily life, maintain good genital hygiene by washing the external genital area with warm water daily, changing cotton underwear regularly, and avoiding unhygienic sexual practices. Avoid tub baths and strenuous exercise during bleeding episodes to minimize local irritation and promote recovery.