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Hi Doctor My Gf And I Had Sex We Are

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Posted on Mon, 14 Oct 2019
Question: Hi doctor my gf and I had sex we are each other’s first. When we had sex she bled quite a bit the first and second time as well.
Is this because of hymen breaking. I have attached pic.
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Follow up: Dr. Dr. Antoneta Zotaj (0 minute later)
Hi doctor my gf and I had sex we are each other’s first. When we had sex she bled quite a bit the first and second time as well.
Is this because of hymen breaking. I have attached pic.
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Follow up: Dr. Dr. Antoneta Zotaj (4 minutes later)
I’ve attached a pic
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Follow up: Dr. Dr. Antoneta Zotaj (0 minute later)
I’ve attached a pic
doctor
Answered by Dr. Dr. Antoneta Zotaj (1 hour later)
Brief Answer:
This is normal bleeding and is nothing to worry about

Detailed Answer:
Hello and welcome to "Ask a Doctor" service,

I carefully read your query and also checked the uploaded image.

It is normal for a woman to bleed when she is sexually active for the first time. She may also bleed the next few times as well, depending on the hymen type and if it broke completely the first time or not.

The bleeding is related to the hymen. I would like to reassure you that the bleeding in the uploaded picture is a normal amount in this case and there is nothing to worry about.

I hope this answers your query. I remain at your disposal in case further medical assistance is needed.

Regards,
Dr. Antoneta Zotaj
General and Family Physician
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
doctor
Answered by Dr. Dr. Antoneta Zotaj (0 minute later)
Brief Answer:
This is normal bleeding and is nothing to worry about

Detailed Answer:
Hello and welcome to "Ask a Doctor" service,

I carefully read your query and also checked the uploaded image.

It is normal for a woman to bleed when she is sexually active for the first time. She may also bleed the next few times as well, depending on the hymen type and if it broke completely the first time or not.

The bleeding is related to the hymen. I would like to reassure you that the bleeding in the uploaded picture is a normal amount in this case and there is nothing to worry about.

I hope this answers your query. I remain at your disposal in case further medical assistance is needed.

Regards,
Dr. Antoneta Zotaj
General and Family Physician
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Antoneta Zotaj (52 minutes later)
Hi doctor thank you. I was worried about the blood that’s all. Would you say it’s normal for a women to bleed as much as this the first and second time??

I’m sorry just want to make sure my girlfriend was alright. Also she stopped bleeding after the 3 or 4th time and we haven’t seen any blood.

Also while I have you. I had a UTI which had shown my CRP go to 20 plus. My CRP is now back to normal.. something was inflamed not sure what.. but being a Man I never went to a doctor until I had painful ejaculation that hurt! Would you know what this may be?

After years everything is back to normal and my ESR and CRP markers are now fine. Do UTI infections have any effect on fertility? I was worried about internal damage.... but with the markers being back to normal I’m guessing the tissues etc have returned to normal?
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Follow up: Dr. Dr. Antoneta Zotaj (0 minute later)
Hi doctor thank you. I was worried about the blood that’s all. Would you say it’s normal for a women to bleed as much as this the first and second time??

I’m sorry just want to make sure my girlfriend was alright. Also she stopped bleeding after the 3 or 4th time and we haven’t seen any blood.

Also while I have you. I had a UTI which had shown my CRP go to 20 plus. My CRP is now back to normal.. something was inflamed not sure what.. but being a Man I never went to a doctor until I had painful ejaculation that hurt! Would you know what this may be?

After years everything is back to normal and my ESR and CRP markers are now fine. Do UTI infections have any effect on fertility? I was worried about internal damage.... but with the markers being back to normal I’m guessing the tissues etc have returned to normal?
doctor
Answered by Dr. Dr. Antoneta Zotaj (1 hour later)
Brief Answer:
Detailed answer below

Detailed Answer:
Hello and welcome back,

The fact that she did not bleed the third and fourth time is another reassuring factor that there was nothing serious causing the bleeding.

As for you having a urinary infection, if you had urinary symptoms and you were not sexually active previously then this is not due to a sexually transmitted disease. In this case, there is no risk that the urinary infection will affect fertility.
I do not think you had internal damage, especially because the symptoms got better. So, I think you should have healed completely.

On the other hand, urinary infections in males are very rare so if you start to have urinary symptoms again then it may be advisable to have an ultrasound examination to make sure the structure of the kidneys and bladder are normal and there are no urinary stones present.

I hope this answers your query. I remain at your disposal in case further medical assistance is needed.

Regards,
Dr. Antoneta Zotaj
General and Family Physician

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
doctor
Answered by Dr. Dr. Antoneta Zotaj (0 minute later)
Brief Answer:
Detailed answer below

Detailed Answer:
Hello and welcome back,

The fact that she did not bleed the third and fourth time is another reassuring factor that there was nothing serious causing the bleeding.

As for you having a urinary infection, if you had urinary symptoms and you were not sexually active previously then this is not due to a sexually transmitted disease. In this case, there is no risk that the urinary infection will affect fertility.
I do not think you had internal damage, especially because the symptoms got better. So, I think you should have healed completely.

On the other hand, urinary infections in males are very rare so if you start to have urinary symptoms again then it may be advisable to have an ultrasound examination to make sure the structure of the kidneys and bladder are normal and there are no urinary stones present.

I hope this answers your query. I remain at your disposal in case further medical assistance is needed.

Regards,
Dr. Antoneta Zotaj
General and Family Physician

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
doctor
Answered by Dr. Dr. Antoneta Zotaj (1 hour later)
Brief Answer:
Detailed answer below

Detailed Answer:
Hello and welcome back,

A urinary infection may affect the bladder or the kidneys but it does not affect the testicles, which are the place where sperm is produced. So, because the testicles are not affected during a urinary infection there is no risk for tissue damage there or reduced fertility.

Only sexually transmitted infections may affect the testicles and may cause symptoms similar to a urinary infection. But as you explain, this is not the case with you.

A high CRP and ERS do indicate the presence of infection (urinary infection if you had urinary symptoms), and their going back to normal indicate the healing of this infection. Kidney function being normal is another indication that no serious damages have resulted.

I hope this answers your query. I remain at your disposal in case further medical assistance is needed.

Regards,
Dr. Antoneta Zotaj
General and Family Physician


Above answer was peer-reviewed by : Dr. Raju A.T
doctor
doctor
Answered by Dr. Dr. Antoneta Zotaj (0 minute later)
Brief Answer:
Detailed answer below

Detailed Answer:
Hello and welcome back,

A urinary infection may affect the bladder or the kidneys but it does not affect the testicles, which are the place where sperm is produced. So, because the testicles are not affected during a urinary infection there is no risk for tissue damage there or reduced fertility.

Only sexually transmitted infections may affect the testicles and may cause symptoms similar to a urinary infection. But as you explain, this is not the case with you.

A high CRP and ERS do indicate the presence of infection (urinary infection if you had urinary symptoms), and their going back to normal indicate the healing of this infection. Kidney function being normal is another indication that no serious damages have resulted.

I hope this answers your query. I remain at your disposal in case further medical assistance is needed.

Regards,
Dr. Antoneta Zotaj
General and Family Physician


Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Antoneta Zotaj (9 minutes later)
No it wasn’t sexually transmitted related as I wasn’t sexually active.

Would you say that if the CRP and ESR is back to normal? I have nothing to worry about. If they didn’t return to normal after antibiotics I’m guessing this would have showed internal damage?

I worry as my mind is thinking - with infection being present what it a certain tube is was damaged that’s all. Maybe I’m worrying about nothing?

My worries were because I left it for so long and the symptoms got a bit worse. Normal CRP is up to 10 but mine exceeded 20.

Are there any blood tests I can do for further reassurance to ensure there’s no damage to tissues which are important in fertility

THanks for your help this is my final question. Thanks for your reassurance that I have nothing to worry about
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Follow up: Dr. Dr. Antoneta Zotaj (0 minute later)
No it wasn’t sexually transmitted related as I wasn’t sexually active.

Would you say that if the CRP and ESR is back to normal? I have nothing to worry about. If they didn’t return to normal after antibiotics I’m guessing this would have showed internal damage?

I worry as my mind is thinking - with infection being present what it a certain tube is was damaged that’s all. Maybe I’m worrying about nothing?

My worries were because I left it for so long and the symptoms got a bit worse. Normal CRP is up to 10 but mine exceeded 20.

Are there any blood tests I can do for further reassurance to ensure there’s no damage to tissues which are important in fertility

THanks for your help this is my final question. Thanks for your reassurance that I have nothing to worry about
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Follow up: Dr. Dr. Antoneta Zotaj (0 minute later)
My kidney blood tests were all normal.
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Follow up: Dr. Dr. Antoneta Zotaj (0 minute later)
My kidney blood tests were all normal.
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Follow up: Dr. Dr. Antoneta Zotaj (1 hour later)
That’s great makes sense about the the sperm.

The pain if I remember was actually a mild discomfort coming through my rectum. Prostatitis maybe? But I remember the doctor checked my prostate and said there was no swelling at the time. Could anything like this effect fertility? As when sperm is passed through?

And there was painful ejaculation. Could infection damage the prostate or the semi vesicles or would the ESR and CRP also pick this up?

I can say - the quantity of ejaculate gets back to normal after a day. It is white in colour and when there is abstinence a lot is released. I’m guessing this also shows that the organs are doing what they are supposed to?

I think that gets the answers to my queries. And if there we’re still problems the CRP would have picked it up
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Follow up: Dr. Dr. Antoneta Zotaj (0 minute later)
That’s great makes sense about the the sperm.

The pain if I remember was actually a mild discomfort coming through my rectum. Prostatitis maybe? But I remember the doctor checked my prostate and said there was no swelling at the time. Could anything like this effect fertility? As when sperm is passed through?

And there was painful ejaculation. Could infection damage the prostate or the semi vesicles or would the ESR and CRP also pick this up?

I can say - the quantity of ejaculate gets back to normal after a day. It is white in colour and when there is abstinence a lot is released. I’m guessing this also shows that the organs are doing what they are supposed to?

I think that gets the answers to my queries. And if there we’re still problems the CRP would have picked it up
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Follow up: Dr. Dr. Antoneta Zotaj (0 minute later)
What would you suggest food wise to allow healing? May need something for the anxiety
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Follow up: Dr. Dr. Antoneta Zotaj (0 minute later)
What would you suggest food wise to allow healing? May need something for the anxiety
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Follow up: Dr. Dr. Antoneta Zotaj (2 minutes later)
Any blood tests for peace of mind
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Follow up: Dr. Dr. Antoneta Zotaj (0 minute later)
Any blood tests for peace of mind
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Follow up: Dr. Dr. Antoneta Zotaj (25 minutes later)
And do infections effect motility or sperm delivering into the vagina
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Follow up: Dr. Dr. Antoneta Zotaj (0 minute later)
And do infections effect motility or sperm delivering into the vagina
doctor
Answered by Dr. Dr. Antoneta Zotaj (7 hours later)
Brief Answer:
Detailed answer to your questions below

Detailed Answer:
Hello and welcome back,

Urinary infection do not affect sperm quality or sperm cell mobility in the vagina. The pain with the erection could also be due to the urethra (the tube that passes the urine from the bladder outside) being affecting while having the urinary infection.

There is no blood test that will determine fertility in this case but if you are concerned you may do a semen analysis. This is a test that is done after 2-3 days of not ejaculating and checks the number of sperm cells, their mobility, shape, etc.

CPR and ERS can be high in many other conditions such as other infections or immune diseases and are not specific to urogenital infections. This means that these being high does not specifically mean there was a urinary infection, even though they may go high in urinary infection as well. The fact that they went down after the urinary infection means the urinary infection is healed.
I do not believe your prostate and seminal glands were affected by the urinary infection you had. This is because the urinary infection does not cause the prostate and seminal vesicles to be damaged.

As for foods to use, there is nothing specific other than healthy diet principles (rich in fruit and vegetable, having good amount of proteins in the diet and fewer carbs) but drinking plenty of water is very important for the function of the urinary system.

I hope this answers your query. I remain at your disposal in case further medical assistance is needed.

Regards,
Dr. Antoneta Zotaj
General and Family Physician
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Dr. Antoneta Zotaj (0 minute later)
Brief Answer:
Detailed answer to your questions below

Detailed Answer:
Hello and welcome back,

Urinary infection do not affect sperm quality or sperm cell mobility in the vagina. The pain with the erection could also be due to the urethra (the tube that passes the urine from the bladder outside) being affecting while having the urinary infection.

There is no blood test that will determine fertility in this case but if you are concerned you may do a semen analysis. This is a test that is done after 2-3 days of not ejaculating and checks the number of sperm cells, their mobility, shape, etc.

CPR and ERS can be high in many other conditions such as other infections or immune diseases and are not specific to urogenital infections. This means that these being high does not specifically mean there was a urinary infection, even though they may go high in urinary infection as well. The fact that they went down after the urinary infection means the urinary infection is healed.
I do not believe your prostate and seminal glands were affected by the urinary infection you had. This is because the urinary infection does not cause the prostate and seminal vesicles to be damaged.

As for foods to use, there is nothing specific other than healthy diet principles (rich in fruit and vegetable, having good amount of proteins in the diet and fewer carbs) but drinking plenty of water is very important for the function of the urinary system.

I hope this answers your query. I remain at your disposal in case further medical assistance is needed.

Regards,
Dr. Antoneta Zotaj
General and Family Physician
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Dr. Antoneta Zotaj (1 hour later)
Doctor
The symptoms I had we’re urge to urinate and pain in the anus. Pknful ejaculation.
This lasted for years until I went to the doctor.. so in your experience. Is prostatitis under a UTI infection banner and it wouldn’t have got damaged would it?

I think I may be worrying about nothing and you’ve said and reassured me that the prostate and SV can’t get damaged by infection.. but am all clear. Just needed some more reassurance if you can and I’ll close this question thank you
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Follow up: Dr. Dr. Antoneta Zotaj (0 minute later)
Doctor
The symptoms I had we’re urge to urinate and pain in the anus. Pknful ejaculation.
This lasted for years until I went to the doctor.. so in your experience. Is prostatitis under a UTI infection banner and it wouldn’t have got damaged would it?

I think I may be worrying about nothing and you’ve said and reassured me that the prostate and SV can’t get damaged by infection.. but am all clear. Just needed some more reassurance if you can and I’ll close this question thank you
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Follow up: Dr. Dr. Antoneta Zotaj (8 minutes later)
With all your experience and treating these on a daily basis? Do u really think I need a sperm check as everything is back to normal? Even after contOnions ejculation the levels get back to normal? Shows that other organs are working. Just got a little worried I guess it’s normal and why I had all these questions.

I also notice that there are some globules in the sperm what’s is this? I’m guessing thebprostate and SV play a big part in the ejaculate and the quantity?



That’s all. I’ve used all my follow up questions! Thanks for all your help. Await your final reply.
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Follow up: Dr. Dr. Antoneta Zotaj (0 minute later)
With all your experience and treating these on a daily basis? Do u really think I need a sperm check as everything is back to normal? Even after contOnions ejculation the levels get back to normal? Shows that other organs are working. Just got a little worried I guess it’s normal and why I had all these questions.

I also notice that there are some globules in the sperm what’s is this? I’m guessing thebprostate and SV play a big part in the ejaculate and the quantity?



That’s all. I’ve used all my follow up questions! Thanks for all your help. Await your final reply.
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Follow up: Dr. Dr. Antoneta Zotaj (20 minutes later)
I just want to draw the line and want to approach my marriage next year happily
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Follow up: Dr. Dr. Antoneta Zotaj (0 minute later)
I just want to draw the line and want to approach my marriage next year happily
doctor
Answered by Dr. Dr. Antoneta Zotaj (30 minutes later)
Brief Answer:
You do not need the semen analysis now

Detailed Answer:
Hello and welcome back

Chronic prostatitis may affect the sperm count but this goes back to norm once prostatitis is treated. I haven't had young patients with prostatitis as this is mostly a condition that affects the elderly but it may happen in young patients as well. But as I explained, even though it may affect the sperm count, this goes back to norm once treatment is started and prostatitis is treated.

I do not think you need a sperm check now. Very likely it will be normal. The only time a semen analysis is needed is if you are married and trying to have a child and you are not conceiving after a year or regular unprotected intercourse.

To conclude:
- prostatitis may affect the sperm count but this is reversible once it is treated
- you do not need to do a semen analysis now, I just mentioned it because you asked of a test to make sure.
- the only time a semen analysis is needed is if you are not able to conceive in a year of regular unprotected intercourse.

I hope this answers your query. I remain at your disposal in case further medical assistance is needed.

Regards,
Dr. Antoneta Zotaj
General and Family Physician
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Dr. Antoneta Zotaj (0 minute later)
Brief Answer:
You do not need the semen analysis now

Detailed Answer:
Hello and welcome back

Chronic prostatitis may affect the sperm count but this goes back to norm once prostatitis is treated. I haven't had young patients with prostatitis as this is mostly a condition that affects the elderly but it may happen in young patients as well. But as I explained, even though it may affect the sperm count, this goes back to norm once treatment is started and prostatitis is treated.

I do not think you need a sperm check now. Very likely it will be normal. The only time a semen analysis is needed is if you are married and trying to have a child and you are not conceiving after a year or regular unprotected intercourse.

To conclude:
- prostatitis may affect the sperm count but this is reversible once it is treated
- you do not need to do a semen analysis now, I just mentioned it because you asked of a test to make sure.
- the only time a semen analysis is needed is if you are not able to conceive in a year of regular unprotected intercourse.

I hope this answers your query. I remain at your disposal in case further medical assistance is needed.

Regards,
Dr. Antoneta Zotaj
General and Family Physician
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Dr. Antoneta Zotaj (56 minutes later)
Ok so To conclude everything is Back to how it was? And the blood tests suggest everything is clear and there is no inflammation?
Thank you
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Follow up: Dr. Dr. Antoneta Zotaj (0 minute later)
Ok so To conclude everything is Back to how it was? And the blood tests suggest everything is clear and there is no inflammation?
Thank you
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Follow up: Dr. Dr. Antoneta Zotaj (0 minute later)
So even if the prostatitis lasted for years this would have no long term damage?
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Follow up: Dr. Dr. Antoneta Zotaj (0 minute later)
So even if the prostatitis lasted for years this would have no long term damage?
doctor
Answered by Dr. Dr. Antoneta Zotaj (27 minutes later)
Brief Answer:
It is unlikely there is inflammation present and this due to the lack of sy

Detailed Answer:
Hello and welcome back,

If you got the treatment for prostatitis and have no symptoms at the moment then there is unlikely to be any inflammation left. It should have healed completely. The CRP and ERS going back to normal do indicate that there is no major inflammation happening in your body.

Because the sperm is not produced in the prostate but just passes through the prostate when ejaculating, it is unlikely to have permanent damages that reduce fertility. Only if the testicles are affected by an infection there is a chance of reduced fertility.
If the prostate has healed well (as it seems to be the case with you), the sperm count should be normal at the moment.

I hope this answers your query. I remain at your disposal in case further medical assistance is needed.

Regards,
Dr. Antoneta Zotaj
General and Family Physician

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Dr. Antoneta Zotaj (0 minute later)
Brief Answer:
It is unlikely there is inflammation present and this due to the lack of sy

Detailed Answer:
Hello and welcome back,

If you got the treatment for prostatitis and have no symptoms at the moment then there is unlikely to be any inflammation left. It should have healed completely. The CRP and ERS going back to normal do indicate that there is no major inflammation happening in your body.

Because the sperm is not produced in the prostate but just passes through the prostate when ejaculating, it is unlikely to have permanent damages that reduce fertility. Only if the testicles are affected by an infection there is a chance of reduced fertility.
If the prostate has healed well (as it seems to be the case with you), the sperm count should be normal at the moment.

I hope this answers your query. I remain at your disposal in case further medical assistance is needed.

Regards,
Dr. Antoneta Zotaj
General and Family Physician
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
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Dr. Dr. Antoneta Zotaj

General & Family Physician

Practicing since :2004

Answered : 4435 Questions

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Hi Doctor My Gf And I Had Sex We Are

Hi doctor my gf and I had sex we are each other’s first. When we had sex she bled quite a bit the first and second time as well. Is this because of hymen breaking. I have attached pic.