I just finished my period and my leucorrhea is streaked with blood. Why?

Leucorrhea with bloodshot streaks just after menstruation may be related to ovulation bleeding, cervicitis, endometrial polyps, fluctuations in hormone levels, or damage to the vaginal mucosa. Intervention can be done by observing changes in symptoms, adjusting living habits, and drug treatment.

1. Bleeding during ovulation

After menstruation ends and enters the ovulation period, a brief drop in estrogen levels may cause a small amount of endometrium to shed, manifesting as leucorrhea mixed with blood. Usually lasts 2-3 days without other discomfort. It is recommended to keep the vulva clean, avoid strenuous exercise, and observe whether the bleeding stops on its own. If it occurs frequently, you can use estradiol valerate tablets, progesterone capsules, etc. to regulate hormones as directed by your doctor.

2. Cervicitis

Chronic cervicitis may cause the cervical mucosa to become congested and fragile, and contact bleeding may easily occur after intercourse or gynecological examination. It is often accompanied by symptoms such as increased leucorrhea and lumbosacral pain. A gynecological examination is required to confirm the diagnosis, and Baofukang suppositories, anti-metritis tablets and levofloxacin hydrochloride capsules can be used as directed by the doctor. Cervical cryotherapy can be performed if necessary.

3. Endometrial polyps

Polyps may bleed due to uterine contractions after menstruation, which may appear as brown discharge or blood streaks. May be combined with prolonged menstrual period and increased menstrual flow. The diagnosis needs to be confirmed by ultrasound examination. Smaller polyps can be adjusted by taking drospirenone and ethinylestradiol tablets. Larger polyps require hysteroscopic resection.

4. Fluctuations in hormone levels

Insufficient luteal function or the adjustment period of oral contraceptive pills may cause abnormal postmenstrual bleeding. It is usually accompanied by menstrual cycle disorders, which can be confirmed by six sex hormone tests. It is recommended to record the changes in basal body temperature and use dydrogesterone tablets, Kuntai capsules and other medications as prescribed by the doctor.

5. Vaginal mucosal damage

Premature intercourse or improper use of tampons after menstruation may cause slight damage to the mucous membrane and discharge of blood mixed secretions. It is recommended to suspend sexual life for 3-5 days and use Red Core Feminine Wash to clean the vulva to avoid secondary infection. If bleeding persists, other organic diseases need to be ruled out.

It is recommended to wear cotton breathable underwear and wash the vulva with warm water 1-2 times a day. Observe 2-3 menstrual cycles. If symptoms recur or worsen, gynecological ultrasound, HPV screening and other examinations are required. Avoid swimming and bathing within 1 week after menstruation, and pay attention to supplementing your diet with iron-containing foods such as animal liver, spinach, etc. Maintaining a regular schedule can help stabilize endocrine systems.