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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Inter Menstrual Bleeding After Intercourse?

I started my period on the 18th of jan thru the 26th then again on the 30th after having intercourse on the 28th and its still current, this second time it started (still current) it went from bright red to now very dark brown. This also happened in December, two periods one month. Im 44yrs old, have my tubes tied 20+ yrs ago, have no idea whats going on, very nervous!
posted on Thu, 9 Feb 2017
Twitter Tue, 4 Dec 2018 Answered on
Twitter Wed, 5 Dec 2018 Last reviewed on
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General & Family Physician,  's  Response
Hello,

Irregular menstrual bleeding can be caused by many causes and pregnancy is one of the possible causes as well. Even though you have had tubal ligation it is safer to just have a pregnancy test and rule it out.
If the pregnancy test comes out negative then you will need to see a doctor and have a gynecological exam. The doctor might need to take a pap smear if you have not had one in the last year or two and he might also ask for transvaginal ultrasound to check for uterine inner layer (the endometrium thickness) and also if there is any masses.
Most of the times all tests come out normal and then hormonal causes are suspected and follow up in time is the best management.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Antoneta Zotaj
General & Family Physician
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What Causes Inter Menstrual Bleeding After Intercourse?

Hello, Irregular menstrual bleeding can be caused by many causes and pregnancy is one of the possible causes as well. Even though you have had tubal ligation it is safer to just have a pregnancy test and rule it out. If the pregnancy test comes out negative then you will need to see a doctor and have a gynecological exam. The doctor might need to take a pap smear if you have not had one in the last year or two and he might also ask for transvaginal ultrasound to check for uterine inner layer (the endometrium thickness) and also if there is any masses. Most of the times all tests come out normal and then hormonal causes are suspected and follow up in time is the best management. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Antoneta Zotaj General & Family Physician