In 2008, the global financial crisis affected Shanghai, and everyone was afraid of losing their jobs, so some of the patients who belonged to the emergency department came to see the doctor at night and insisted on working during the day. Therefore, every night shift (from 4:00 pm to 8:00 am), the emergency department was bustling with traffic! At that time, there was a popular saying among our doctors, “Changhai women work like men, while doctors work like animals! Although the words are rough, the hard work of the medical staff is evident. I secretly got lucky: tonight the whole country is watching the opening ceremony, the number of emergency room must be less, right? Sure enough, after taking over the shift, the patients were much less than usual, and the take-out ordered was more relaxed than usual! The most usual rice with scrambled eggs and tomatoes was so sweet and tasty even when chewed carefully! It was a shame that I missed the opening ceremony of the Olympics, but it was nice to have a moment of leisure! After dinner, I was about to call my son to care about his life and study, and also to tell him how much I missed him. But there was another emergency patient in the emergency room. Patient Hua x, female, 55 years old, menopausal for 5 years. She was conscious, mildly anemic, and had vaginal bleeding for 2 hours, more than the amount of menstruation. She denied special medical history such as trauma, refused gynecological examination, and demanded the best hemostatic drugs and infusion to stop bleeding. I repeatedly emphasized the importance of specialist examination and auxiliary ultrasound for a clear diagnosis, but she and her husband repeatedly refused and signed that they were responsible for the consequences. I had to prescribe her Lithopodium (thrombin) after reporting to the associate physician, and she was infused in the observation room for observation. An hour passed by when a few more pregnant women who were in labor and needed to be hospitalized were dealt with. I went to the infusion room to make rounds and noticed from a distance that Hua X’s face was even paler and her visual anemia symptoms were significantly worse. The rechecked hematocrit: 60g/dl, which was severe anemia due to blood loss, and had entered the compensatory phase of hemorrhagic shock. I seriously told them: if they do not cooperate with the examination, hemorrhagic shock will occur and the best time for resuscitation will be missed, which may even lead to death. The most common causes of postmenopausal bleeding: endometrial cancer and cervical cancer may occur, etc. I dispensed blood to her in an emergency while considering how to convince the stubborn couple to cooperate with the gynecological examination and take a sample biopsy to rule out cancerous bleeding. The husband’s expression Suddenly, I noticed that the patient’s husband looked embarrassed and wanted to say something! My heart fluttered, and my mind wandered back to a case I had encountered 20 years ago when I was an intern, where excessive sexual force had caused the posterior vaginal vault to tear and blood to fill the mountain. Time was running out, so I went straight to the point and asked him if the bleeding occurred after having ‘high-octane’ sex. He blushed and nodded his head, never uttering a word. It was now over 3 hours since the bleeding had occurred and treatment had to be scrambled! I reported to the associate physician while pushing up the patient with my emergency nurse practitioner aunt and flying to the operating room. Under anesthesia, Hua’s wound was clearly exposed, and there was a 3.5 cm rupture in the upper vagina near the posterior fornix, and active bleeding was still occurring. Sutures were quickly given to close the wound, bleeding stopped, and with the addition of blood and fluid transfusion, the patient turned to safety! In general, obstetrical and gynecological emergencies include emergency gynecological abdominal diseases (the most common diseases are ectopic pregnancy, ruptured corpus luteum and ovarian cyst torsion) and various obstetrical complications requiring emergency admission. However, relatively rare emergency cases should not be ignored. For example, gynecological bleeding due to trauma, especially traumatic bleeding due to sexual intercourse, is often confusing because of human interference (patients are ashamed to admit it, deliberately conceal it, refuse to cooperate with the examination), which delays the diagnosis and treatment! The bleeding after sex may be caused by lack of foreplay, lack of wetness, mucous membrane friction and vaginal tearing. There is nothing wrong with “snapping” itself, even if you are menopausal, you should enjoy a “sexually blessed” life. The actual “fap” is really a force to be cautious! The actual fact is that you can’t just ignore the physiological characteristics as long as you are passionate, otherwise ‘snapping’ is risky, there may be a “blood diffusion” situation.