If picking at the vulva or vagina with the hand causes local bleeding, two main possibilities are considered: first, consider that the patient has exerted excessive force and scratched the patient’s vulva, vagina or cervix with her nails and caused bleeding. The patient must undergo a gynecological examination to observe the site of bleeding and the bleeding situation. If the bleeding is low, no treatment can be given. If the bleeding is high, then gauze can be used to stop the bleeding. If the compression is not effective in stopping the bleeding, sutures are needed to stop the bleeding. At the same time, if the patient’s hands are not particularly hygienic, the patient can add antibiotics to prevent infection while stopping the bleeding. Second, consider that the patient has a vaginal or cervical lesion of her own, so the patient’s hand will cause bleeding when touched. When doing a gynecological examination, you can see obvious polyp-like tissue or hyperplasia or raised tissue. If no obvious hyperplasia or raised tissue is seen, but the patient still has bleeding from the cervical and vaginal walls when the vagina is touched during the gynecological examination, it is necessary to perform relevant tests such as HPV or TCT, colposcopy, etc. to determine if there is bleeding due to early cervical and vaginal lesions, and then determine the treatment plan based on the test results.