What is cervical bleeding?

Cervical bleeding may be caused by cervicitis, cervical polyps, cervical intraepithelial neoplasia, cervical cancer, pregnancy-related factors, etc. Cervical bleeding can be intervened through drug treatment, physical therapy, surgical treatment, etc.

1. Cervicitis

Cervicitis may be related to unclean sex, pathogen infection and other factors, and usually manifests as symptoms such as increased secretions and bleeding after intercourse. Mild patients can follow the doctor's advice and use Baofukang suppositories, Xiaomi vaginal effervescent tablets and other drugs for local treatment. Moderate to severe inflammation requires oral anti-metritis tablets or antibiotics. It is necessary to avoid vaginal douching on a daily basis and wear cotton breathable underwear.

2. Cervical polyps

Cervical polyps may be related to chronic inflammatory stimulation, high estrogen levels and other factors, and usually manifest as symptoms such as spotting and contact bleeding in the same room. Small polyps can be removed under hysteroscopy, while larger polyps require cervical conization. Regular review is required after surgery, strenuous exercise should be avoided, and sexual intercourse is prohibited for 1-2 months.

3. Cervical intraepithelial neoplasia

Cervical intraepithelial neoplasia is usually related to human papillomavirus infection, and symptoms such as irregular vaginal bleeding and abnormal discharge may occur. CIN1 grade can be observed and followed up, while CIN2-3 grade requires cervical ring electroresection or cold knife conization. After surgery, you need to use recombinant human interferon α2b vaginal effervescent tablets for antiviral treatment as directed by your doctor.

4. Cervical cancer

Cervical cancer may only present with contact bleeding in the early stage, but may present with symptoms such as large amounts of vaginal bleeding and foul-smelling discharge in the advanced stage. Radical hysterectomy or radiotherapy and chemotherapy need to be selected according to the stage, combined with the use of chemotherapy drugs such as cisplatin injection. Long-term follow-up HPV and TCT examinations are required after treatment.

5. Pregnancy-related factors

Pregnancy complications such as threatened abortion and placenta previa may cause cervical bleeding, often accompanied by abdominal pain or uterine contractions. Absolute bed rest is required, progesterone capsules must be used as directed by the doctor to protect the fetus, and hospitalization is required if necessary. Bleeding during pregnancy requires immediate medical attention to rule out a critical condition.

If cervical bleeding occurs, avoid using tampons, choose pure cotton sanitary napkins and change them frequently. Keep the vulva clean and dry and wash it with warm water 1-2 times a day. Self-medication or vaginal lavage is prohibited. The diet should be light, increase the intake of high-quality protein such as lean meat and eggs, and avoid spicy and stimulating foods. It is recommended to wear loose clothing, avoid swimming, bathing and heavy physical labor for 3 months, and undergo regular gynecological examinations and cervical cancer screenings.