After taking Huahong tablets, there is blood clot discharge from the vagina. What causes this and what should I do?

After taking Hua Hong tablets, the appearance of blood clots or dark discharge may be caused by the drug's blood-activating effect, premenstrual spotting, ovulation bleeding, cervicitis, or endometritis. This can be managed through monitoring blood loss, adjusting medication timing, or medical treatment. If the amount of bloody discharge is heavy or accompanied by worsening abdominal pain, prompt medical attention is necessary.

1. Drug-induced blood circulation effect: Hua Hong tablets have the function of promoting blood circulation and unblocking meridians, which may facilitate the expulsion of residual stagnant blood from the uterine cavity, manifesting as small amounts of dark red clots or discharge. It is recommended to monitor the amount of bleeding; if it does not exceed normal menstrual flow and no discomfort occurs, continue taking the medication as prescribed without stopping it arbitrarily.

2. Sign of upcoming menstruation: The medication may coincide with the approaching menstrual period, and its blood-activating effect could trigger early menstruation, with the discharge representing light initial menstrual bleeding. It is advisable to record the timing of bleeding and compare it with your regular cycle, stay warm, and avoid raw or cold foods and other irritants.

3. Ovulation bleeding: If the medication is taken during ovulation, hormonal fluctuations may cause slight shedding of the endometrium, resulting in spotting or minimal dark red discharge. Maintain good external genital hygiene, avoid strenuous exercise, and note that such bleeding usually resolves spontaneously within 2–3 days without special treatment.

4. Cervicitis: Bacterial infection causing cervical inflammation leads to congestion and fragility of the cervical mucosa, making it prone to bleeding after drug stimulation. Discharge may be accompanied by increased vaginal discharge and a feeling of heaviness in the lower abdomen. Under medical guidance, medications such as metronidazole suppositories, Baofu Kang suppositories, or cefixime dispersible tablets may be used to relieve symptoms.

5. Endometritis: Inflammation of the endometrium causes mucosal congestion and edema, and the blood-activating effect of the medication may exacerbate bleeding. Blood clots may be accompanied by mild lower abdominal pain and foul-smelling discharge. Patients may use medications such as Gynecological Qianjin tablets, levofloxacin capsules, or metronidazole tablets under medical supervision to alleviate discomfort.

In daily life, maintain external genital hygiene and change underwear regularly. Avoid sexual intercourse during bleeding episodes. Eat a light, easily digestible diet and avoid spicy or irritating foods. Follow medical advice regarding medication and closely observe bleeding patterns to support recovery.