Why do I bleed again a few days after my period?

Bleeding a few days after menstruation may be related to ovulation bleeding, endocrine disorders, uterine fibroids, endometrial polyps, cervical lesions and other factors. Intervention can be done through lifestyle adjustments, medication, surgery, etc.

1. Bleeding during ovulation

Small amounts of bleeding that occur 7-10 days after menstruation may be ovulation bleeding and are related to a brief drop in estrogen levels. Usually lasts for 1-3 days, the amount of bleeding is less than menstrual flow, and may be accompanied by mild abdominal pain. It is recommended to keep the vulva clean and avoid strenuous exercise. If it occurs frequently, you can use estradiol valerate tablets, progesterone capsules and other drugs as directed by your doctor to adjust the cycle.

2. Endocrine disorders

Staying up late for a long time and being too stressed may lead to insufficient luteal function and cause intermenstrual bleeding. It may be accompanied by symptoms such as menstrual cycle disorders and acne. It can be managed through regular work and rest, oral administration of motherwort granules, Wuji Baifeng pills and other Chinese patent medicines. If necessary, six items of sex hormones need to be tested.

3. Uterine fibroids

Submucosal fibroids can easily lead to non-menstrual bleeding, often accompanied by symptoms such as increased menstrual flow and anemia. Ultrasound examination can confirm the diagnosis. Fibroids with a diameter less than 5 centimeters can be treated with mifepristone tablets and Guizhi Fuling capsules as directed by the doctor to control their growth. Larger fibroids require hysteroscopic resection.

4. Endometrial polyps

The bleeding caused by polyps is often in the form of dripping, which may be combined with irregular menstruation. Hysteroscopy is the gold standard. Small polyps can be treated with dydrogesterone tablets and levonorgestrel sustained-release intrauterine system. Hysteroscopic polypectomy is recommended for multiple polyps.

5. Cervical lesions

Cervicitis or intraepithelial neoplasia may cause contact bleeding, often accompanied by increased discharge. TCT and HPV screening are required. For mild inflammation, Baofukang suppositories and anti-metritis tablets can be used. For high-grade lesions, cervical conization is required.

It is recommended to record the bleeding time, amount and accompanying symptoms, avoid spicy and irritating foods, choose cotton underwear and change it daily. Bath bathing and sexual intercourse are prohibited during bleeding. If bleeding lasts for more than 7 days or is accompanied by dizziness and fatigue, gynecological examination, ultrasound and hormone level testing are required in a timely manner, and targeted treatment is required after organic diseases are ruled out. Women over 40 years old should strengthen cervical cancer screening.