Vaginal bleeding and pain are mainly considered to be related to ovulatory bleeding, intrauterine device, ectopic pregnancy, vaginal inflammation, uterine fibroids and other causes. Patients should go to the hospital in time to clarify the cause and then carry out cause-specific treatment.1. Ovulatory bleeding: In the middle of two menstrual periods, due to changes in hormone levels in the patient’s body, there is a small amount of endometrial shedding and contraction of the uterine cavity, resulting in vaginal bleeding and abdominal pain. Generally, the symptoms can gradually improve in 2-3 days and can be observed first. 2. Intrauterine device: After the placement of the device, due to the stimulation of the uterine cavity by the friction of the device, the patient can have abdominal pain, vaginal bleeding and other symptoms. If the symptoms persist, the patient needs to go to the hospital to have it removed; 3, ectopic pregnancy: the fertilized egg is laid in the fallopian tube with limited space, and when the gestational sac increases, it is easy to bleed due to rupture. In addition to this, patients often have symptoms such as burning pain in the pubic area and painful urination. 5. Uterine fibroids: Due to the rapid growth of tumor tissues, they compress the uterine cavity and surrounding blood vessels, resulting in abdominal pain, vaginal bleeding and other symptoms. Under the guidance of doctors, mifepristone and tranexamic acid can be taken to control the volume of the tumor, and then the tumor can be removed surgically; 6.