The main causes of painful bleeding during coitus in the elderly are: vaginal inflammation, decreased hormone levels, cervical disease, and so on. They can be handled in the following ways: active treatment of vaginal inflammation, use of vaginal lubricants, hormonal medication, surgical treatment, and so on.
1. Vaginal inflammation: Vaginitis in the elderly will lead to congestion and edema of the mucous membrane of the vaginal wall, which will cause pain and bleeding after coitus when the mucous membrane of the vagina is stimulated. You can take active treatment measures for the cause of vaginitis, such as: vaginal placement: metronidazole pessary, mycophenolic tablets, clotrimazole vaginal tablets, etc.; or oral metronidazole, fluconazole and so on.
2. Decrease in hormone levels: the elderly due to the decline in ovarian function, the body’s estrogen and progesterone levels decrease, the vaginal gland secretions decrease, resulting in vaginal dryness. The above symptoms, you can use appropriate vaginal lubricant, increase vaginal lubrication, reduce the friction during intercourse, relieve the above symptoms. Such as: glycerin, paraffin oil, etc. Be careful to keep the lubricant sterile.
In addition, after excluding hormone-dependent diseases, active thrombosis, etc., hormone drugs can be used for treatment, such as: vaginal placement of estriol suppositories, estradiol valerate cream and so on.
3. Cervical disease: the elderly bleeding after intercourse should also be gynecological examination, cervical TCT and HPV examination, to exclude cervical polyps, cervical lesions, cervical malignant tumors and other conditions, to take targeted therapeutic measures, such as: cervical polyp removal, cervical conization, hysterectomy and so on.
The above drugs should be used under the guidance of clinicians to avoid adverse reactions.