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What Causes Bleeding After Sex?
Question: My pap came back abnormal with HPV lsil so I had colposcopy with cervical biopsy and ECC - ONE AW LESION AT 12'OCLOCK found. 2 weeks later I'm bleeding after sex. Find out tomorrow my results - what is the cause of bleeding?
Brief Answer:
Thank you for the question...
Detailed Answer:
The pap smear is a screen for pre-cancerous cells of the cervix. These changes are common and caused by a virus called HPV. Exposure is common among all sexually active persons. It is also common to be exposed to "high-risk" HPV types and this usually warrants the evaluation that you had done - the colposcopy. During the colposcopy, we apply dilute acetic acid to the cervix, and areas that are affected by HPV turn white, or rather
aceto-white. So, you had a mildly abnormal pap smear with evidence of high-risk HPV. You had the proper evaluation and the comment of aceto-white changes only probably indicates a mild abnormality, also called CIN-1. You have little to worry about and the results tomorrow should clarify what is going on.
With regard to the bleeding after intercourse, it would be VERY unusual to have a problem related to the site of the biopsy, as the biopsy site itself is extremely small. This could be completely normal as the cervix is prone to bleeding, in general, with intercourse. With regard to this complaint, I would discuss it with your doctor when they call you with the results of the biopsy. If it continues to happen, then you need re-evaluation that would include an exam of your cervix to determine if this is the source of the bleeding.
I hope that this helps!
Dr. Raichle
Thank you for the question...
Detailed Answer:
The pap smear is a screen for pre-cancerous cells of the cervix. These changes are common and caused by a virus called HPV. Exposure is common among all sexually active persons. It is also common to be exposed to "high-risk" HPV types and this usually warrants the evaluation that you had done - the colposcopy. During the colposcopy, we apply dilute acetic acid to the cervix, and areas that are affected by HPV turn white, or rather
aceto-white. So, you had a mildly abnormal pap smear with evidence of high-risk HPV. You had the proper evaluation and the comment of aceto-white changes only probably indicates a mild abnormality, also called CIN-1. You have little to worry about and the results tomorrow should clarify what is going on.
With regard to the bleeding after intercourse, it would be VERY unusual to have a problem related to the site of the biopsy, as the biopsy site itself is extremely small. This could be completely normal as the cervix is prone to bleeding, in general, with intercourse. With regard to this complaint, I would discuss it with your doctor when they call you with the results of the biopsy. If it continues to happen, then you need re-evaluation that would include an exam of your cervix to determine if this is the source of the bleeding.
I hope that this helps!
Dr. Raichle
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Above answer was peer-reviewed by :
Dr. Raju A.T
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