What causes redness in leucorrhea?

Red vaginal discharge may be caused by vaginitis, cervicitis, endometrial lesions, fluctuations in hormone levels, or trauma. Red leucorrhea usually manifests itself as blood mixed with discharge and may be accompanied by symptoms such as odor, itching, or abdominal pain. It is recommended to seek medical treatment promptly and provide targeted treatment after the cause is identified.

1. Vaginitis

Vaginitis may cause red vaginal discharge and is more common with bacterial vaginosis or trichomonas vaginitis. When the vaginal mucosa is congested or damaged, the discharge may be blood-streaked. Patients may experience vulvar itching, burning, or odor. For treatment, medications such as metronidazole vaginal effervescent tablets, clotrimazole vaginal tablets, or Baofukang suppositories can be used as directed by your doctor. Keep the perineum clean every day and avoid using irritating lotions.

2. Cervicitis

The redness of leucorrhea caused by cervicitis is mostly caused by cervical congestion and erosion, which leads to contact bleeding. Common symptoms include bleeding after intercourse and lower abdominal pain. Cervical polyps or cervical intraepithelial neoplasia may also present with similar symptoms. Treatment requires selecting drugs based on the pathogen, such as azithromycin dispersible tablets, doxycycline hydrochloride tablets or interferon suppositories. Regular cervical cancer screening can help detect lesions early.

3. Endometrial lesions

Endometrial polyps, endometritis, or endometrial cancer may cause red vaginal discharge. Abnormal endometrial shedding or tumor blood vessel rupture can cause bloody discharge, which may be accompanied by menstrual disorders and pelvic pain. Diagnosis requires ultrasound or hysteroscopy. Treatment includes levonorgestrel intrauterine sustained-release system, dydrogesterone tablets and other drugs. In severe cases, surgical resection is required.

4. Fluctuations in hormone levels

Ovulatory bleeding, luteal insufficiency, or perimenopausal hormonal changes may cause transient redness of vaginal discharge. This physiological bleeding is usually small in amount and without other discomfort, and may be related to increased local sensitivity of the endometrium. Generally, no special treatment is required. If bleeding continues, progesterone capsules or estradiol valerate tablets can be used to adjust the cycle after consulting a doctor.

5. Trauma

Rough sex, gynecological examination injuries, or improper use of built-in tampons may cause mechanical damage to the vaginal mucosa and bloody leucorrhea. Bleeding is usually small and can heal on its own, but you need to be wary of secondary infections. Sexual intercourse should be avoided during the recovery period, and erythromycin ointment should be used to prevent infection if necessary. Recurrent bleeding needs to be ruled out for systemic diseases such as coagulation disorders.

If redness of leucorrhea occurs, the bleeding time, color changes and accompanying symptoms should be recorded, and avoid using drugs to flush the vagina by yourself. It is recommended to wear cotton underwear and change it daily, and change sanitary napkins frequently during menstruation. You can add vegetables and fruits rich in vitamin C to your diet, such as broccoli and kiwi fruit, which can help enhance the repair ability of mucous membranes. Moderate exercise improves pelvic blood circulation, but avoid strenuous exercise that aggravates bleeding. If the bleeding lasts for more than 3 days or is accompanied by fever or severe abdominal pain, you must seek medical attention immediately for a gynecological examination.