Vaginal bleeding with straining during stool does not necessarily mean cervical cancer. You should first identify whether it is vaginal bleeding or anal bleeding after stool. Vaginal bleeding is usually not caused by straining during stool, but mostly due to constipation or intestinal bleeding caused by anal fissure or hemorrhoid. Because of the proximity of the vagina to the rectum and anus, it is possible to mistake anal bleeding for vaginal bleeding. If anal bleeding can be excluded, then it should be vaginal bleeding associated with straining during stool. Patients can find the site of bleeding and determine what is causing it by going to the hospital for a formal gynecologic examination. The lesion will then need to be identified based on the results of the examination. If the bleeding is from the cervix, the cervical lesion should be identified, and if the bleeding is from the uterine cavity, the endometrial lesion should be excluded, and auxiliary tests such as gynecologic ultrasound, cervical TCT, HPV, cervical biopsy, etc. should be done if necessary.