Bleeding after cervical cancer screening

Bleeding after cervical cancer screening is usually normal and may be related to slight irritation of cervical tissue. Bleeding after screening is mainly caused by cervical mucosal damage, abnormal coagulation function, cervical inflammation, improper operation, individual differences and other reasons. It is recommended to observe the amount and duration of bleeding. If the amount of bleeding is large or lasts for a long time, seek medical attention promptly.

1. Cervical mucosal injury

The brushes or scrapers used during cervical cancer screening may cause slight damage to the cervical mucosa, causing capillary rupture and bleeding. This type of bleeding is usually spot-like, bright red in color, and will stop on its own within 1-2 days. After screening, strenuous exercise and sexual life should be avoided, the vulva should be kept clean and dry, the perineum should be washed with warm water, and irritating lotions should be avoided.

2. Abnormal coagulation function

Some patients have coagulation disorders such as thrombocytopenia and lack of coagulation factors, and may experience prolonged bleeding time after screening. Such patients may have symptoms such as gum bleeding and skin ecchymosis. It is recommended to inform the doctor about the relevant medical history before screening and complete the coagulation function test if necessary. If bleeding continues, hemostatic drugs such as tranexamic acid tablets and Yunnan Baiyao capsules can be used under the guidance of a doctor.

3. Cervical inflammation

In patients with chronic cervicitis, the cervical tissue is congested and edematous, and the mucosa is more fragility, making it easier to bleed during screening. Such patients are often accompanied by symptoms such as increased leucorrhea and abnormal color. Bleeding may last for 3-5 days after screening. You can use Baofukang suppository, Xiaomi suppository and other drugs to treat cervical inflammation as directed by your doctor. At the same time, antibiotics such as cefixime dispersible tablets can be used to prevent infection.

4. Improper operation

Excessive use of instruments or improper operation during screening may aggravate cervical damage and cause more bleeding. The amount of bleeding during standard screening procedures is very small. If the amount of bleeding exceeds menstrual flow, you need to be alert to cervical laceration. When heavy bleeding occurs, pressure should be applied immediately to stop the bleeding, and medical treatment should be sought promptly. If necessary, cervical suturing or electrocoagulation should be performed to stop the bleeding.

5. Individual differences

Some women have abundant cervical blood vessels and thin mucosa, and have a higher probability of bleeding after screening. As estrogen levels drop in postmenopausal women, the cervical mucosa shrinks and becomes thinner, making them prone to bleeding. This group of people can use estrogen ointment to apply topically before screening to improve the condition of the mucosa. After the screening, it is recommended to rest for 30 minutes and observe if there are no abnormalities before leaving the hospital.

After cervical cancer screening, you should pay attention to keeping the vulva clean, wash it with warm water 1-2 times a day, and avoid sitting baths and using vaginal irrigators. Avoid sexual intercourse, swimming and bathing within 1-2 weeks after screening to prevent infection. Eat more foods rich in vitamin C and iron, such as oranges and spinach, to promote mucosal repair. If the amount of bleeding exceeds menstrual flow, the bleeding lasts for more than 1 week, or is accompanied by fever, abdominal pain and other symptoms, you should seek medical examination immediately. Gynecological examinations should be carried out regularly and any abnormality should be treated promptly.