What causes a little bloodshot leucorrhea?

Leucorrhea with blood streaks may be related to ovulation bleeding, vaginitis, cervicitis, endometrial polyps, cervical cancer and other factors. Bloodshot leucorrhea usually manifests as a small amount of blood mixed in the leucorrhea, which may appear pink, brown, or bright red in color. It is recommended to seek medical attention promptly for a clear diagnosis.

1. Bleeding during ovulation

A brief drop in estrogen levels during ovulation may cause part of the endometrium to shed, causing a small amount of bleeding mixed with leucorrhea. It usually lasts for 2-3 days, with little bleeding and no other discomfort. You can record the bleeding time by observing the menstrual cycle and keep the vulva clean. Generally, no special treatment is required.

2. Vaginitis

Bacterial vaginosis or candida vaginitis may cause congestion and damage to the vaginal mucosa. It is often accompanied by vulvar itching, burning sensation and abnormal discharge. Routine leucorrhea examination is required to confirm the diagnosis, and clotrimazole vaginal tablets, metronidazole suppositories or lactobacilli vaginal capsules can be used to adjust the balance of the bacterial flora as directed by the doctor.

3. Cervicitis

Infections with gonorrhea, chlamydia and other pathogens can cause cervical columnar epithelial erosion and bleeding. It may be complicated by bleeding and lumbosacral pain after intercourse. Cervical TCT and HPV screening are required. After diagnosis, Baofukang suppositories, anti-metritis tablets and other drugs can be used, and physical therapy can be used if necessary.

4. Endometrial polyps

Localized overgrowth of the endometrium caused by estrogen stimulation may cause irregular bleeding during non-menstrual periods. Ultrasound examination shows a hyperechoic mass in the uterine cavity. Asymptomatic small polyps can be observed, but larger polyps require hysteroscopic resection, and drospirenone and ethinylestradiol tablets are taken postoperatively to prevent recurrence.

5. Cervical cancer

Persistent infection with high-risk HPV may cause cervical intraepithelial neoplasia, with early manifestations of contact bleeding or bloody leucorrhea. The diagnosis needs to be confirmed by colposcopy biopsy, and cervical conization or radical hysterectomy is selected according to the stage. After surgery, chemotherapy drugs such as cisplatin injection may be required.

You should choose pure cotton breathable underwear and change it daily, and avoid using alkaline lotion to rinse the vagina. Pay attention to cleanliness and hygiene when having sex, and it is recommended to have a gynecological physical examination and cervical cancer screening every year. If the bleeding lasts for more than 3 days or is accompanied by abdominal pain, fever and other symptoms, you must seek medical attention immediately to rule out the risk of malignant lesions.