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What Causes Uterine Bleeding Post Intercourse?

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Posted on Tue, 25 Oct 2016
Question: I'm so nervous, I had bleeding after sex. Seen my OB doctor, had a pap done & he noticed a small spot on my cervix & I started bleeding during the pap smear.
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Answered by Dr. Scott Rebich (2 hours later)
Brief Answer:
Unfortunately, you will need an extensive work up

Detailed Answer:
Hi there,

The most common causes of uterine bleeding are:
- Polycystic ovarian syndrome
- Hypothyroidism
- Pituitary dysfunction
- Uterine hyperplasia/abnormalities
- Cervical lesions/HPV
- Tumors/Polyps
- Urinary tract infections

For a complete work up, you should have routine blood work with endocrine and metabolic diseases, pelvic ultrasound, pap smear with cultures and HPV testing, a pregnancy test, a biopsy of the cervix and endometrial tissue, prolactin levels, and thyroid levels.

Based on your history, you could have a cervical abnormality such as a polyp or mass. Your doctor should have seen this on Pap smear, however, and taken a biopsy. If you had blood work which was all negative or unremarkable, then you will need biopsies of the cervix, endometrial tissue, and uterus. You also should have an ultrasound of the uterus for adenomyosis or masses.

Let me know if you have any questions.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Scott Rebich

Internal Medicine Specialist

Practicing since :2015

Answered : 283 Questions

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What Causes Uterine Bleeding Post Intercourse?

Brief Answer: Unfortunately, you will need an extensive work up Detailed Answer: Hi there, The most common causes of uterine bleeding are: - Polycystic ovarian syndrome - Hypothyroidism - Pituitary dysfunction - Uterine hyperplasia/abnormalities - Cervical lesions/HPV - Tumors/Polyps - Urinary tract infections For a complete work up, you should have routine blood work with endocrine and metabolic diseases, pelvic ultrasound, pap smear with cultures and HPV testing, a pregnancy test, a biopsy of the cervix and endometrial tissue, prolactin levels, and thyroid levels. Based on your history, you could have a cervical abnormality such as a polyp or mass. Your doctor should have seen this on Pap smear, however, and taken a biopsy. If you had blood work which was all negative or unremarkable, then you will need biopsies of the cervix, endometrial tissue, and uterus. You also should have an ultrasound of the uterus for adenomyosis or masses. Let me know if you have any questions.