What causes vaginal bleeding during bowel movements?
Disease description:
Recently, my wife has noticed bleeding during bowel movements, and it seems like the bleeding is coming from the genital area. Could you please explain what might cause bleeding from the genital area during defecation?
Doctor's answer (1)
Dr. Li Jingxiang
Vaginal bleeding during defecation may be caused by several factors:
1. Gynecological conditions: such as cervical diseases (e.g., cervicitis, cervical precancerous lesions, or cervical cancer), uterine fibroids (especially submucosal fibroids), and vaginitis. These conditions may lead to contact bleeding during bowel movements due to increased intra-abdominal pressure or mechanical stimulation of the cervix.
2. Physiological causes: occasionally, excessive straining during defecation may cause rupture of blood vessels in the vagina, resulting in bleeding, although this is relatively rare.
3. Other factors: such as cervical ectropion or uterine prolapse, which may also lead to vaginal bleeding during bowel movements under certain circumstances.
If this occurs, it is recommended to seek prompt medical attention at a hospital for professional evaluation to determine the underlying cause and receive appropriate treatment.
