Pelvic separation of 0.5 cm accompanied by vaginal bleeding requires prompt medical attention to determine the cause. Common causes include pregnancy-related diseases, gynecological inflammation or trauma. Treatment needs to be targeted according to the specific cause. 1. Pregnancy-related diseases may be the main cause of pelvic separation and vaginal bleeding, such as threatened abortion, ectopic pregnancy or placental abruption. Threatened abortion is manifested as vaginal bleeding in early pregnancy, which may be accompanied by lower abdominal pain; ectopic pregnancy may cause severe abdominal pain and vaginal bleeding; placental abruption often occurs in late pregnancy, accompanied by persistent abdominal pain and vaginal bleeding. Treatment should be based on the specific situation to choose to preserve the pregnancy, surgery or termination of pregnancy. 2. Gynecological inflammation such as cervicitis, endometritis or pelvic inflammatory disease may also cause vaginal bleeding. Cervicitis is mostly caused by infection, with symptoms of increased vaginal discharge and bleeding after sexual intercourse; endometritis is common after childbirth or abortion, accompanied by lower abdominal pain and abnormal bleeding; pelvic inflammatory disease is mostly caused by ascending infection, which may be accompanied by fever and abdominal pain. Treatment is mainly antibiotics, and severe cases require hospitalization. 3. Traumatic or iatrogenic injuries such as sexual intercourse injury, cervical surgery or placement of an intrauterine device may also cause vaginal bleeding. Sexual intercourse injury is more common in vaginal dryness or rough sexual behavior; a small amount of bleeding may occur after cervical surgery such as cervical conization; irregular bleeding may occur after placement of an intrauterine device. Treatment should be selected according to the degree of injury, including hemostasis, anti-infection or surgical repair. 4. Other causes such as uterine fibroids, endometrial polyps or coagulation disorders may also cause vaginal bleeding. Uterine fibroids are common in women of childbearing age and may cause increased menstrual flow or irregular bleeding; endometrial polyps often present as intermenstrual bleeding; coagulation disorders such as thrombocytopenia may cause spontaneous bleeding. Treatment should be based on the cause, whether it is medication or surgical intervention. If the pelvic separation is 0.5 cm and accompanied by vaginal bleeding, you need to seek medical attention in time to identify the cause and choose targeted treatment according to the specific cause to avoid delaying the disease and causing serious consequences. In daily life, you should pay attention to personal hygiene, avoid unclean sexual behavior, have regular gynecological examinations, and seek medical attention in time if you find any abnormalities. |
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