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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Spotting To Heavy Flow Between Periods And After Intercourse?

Hi, I have been bleeding spotting to heavy flow between periods and after sex for 6 months. Very tired yes I have 4 children but a lot more tired than usual. Sore lower back, and always crampy and bloated. I m 40 had 4 children and no pervious problems. Very healthy 178cm 59kgs and very rearly sick. I went to doctor was referred to gynaecologist had swab, blood, scan they came back clear. Smear showed minor abnormality then cervix biopsy that showed inflammation of cervix and abnormality. Now my periods 5 days late, I m never late and no blooding just have a lot of clear creamy mucus coming out. Booked in for D&C and curterazation of the cervix. I m really worried do I have cancer. Thank you for your time.
Fri, 3 Jul 2015
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,
Bleeding after intercourse can occur due to lesions of vagina, cervix and endometrium.
Spotting to heavy bleeding in between periods is suggestive of some hormonal imbalance.
Cervicitis or inflammation of cervix is responsible for the clear mucis discharge.
Cervicitis can also lead to bleeding after intercourse.
However, more serious condition like dysplasia or cancer of the cervix needs to be ruled out.
Currently there is only inflammation of the cervix so nothing to worry.
However, a regular follow up with Pap smear is required at regular intervals atleast once a year.
Cervicitis may be the cause of bleeding in between cycles however, other causes have also to be ruled out.
An endometrial biopsy should also be added to D&C procedure.
Examination of endometrial biopsy will determine whether there is any hormonal imbalance or not.

Thanks and take care
Dr Shailja Puri
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What Causes Spotting To Heavy Flow Between Periods And After Intercourse?

Hello and welcome to HCM, Bleeding after intercourse can occur due to lesions of vagina, cervix and endometrium. Spotting to heavy bleeding in between periods is suggestive of some hormonal imbalance. Cervicitis or inflammation of cervix is responsible for the clear mucis discharge. Cervicitis can also lead to bleeding after intercourse. However, more serious condition like dysplasia or cancer of the cervix needs to be ruled out. Currently there is only inflammation of the cervix so nothing to worry. However, a regular follow up with Pap smear is required at regular intervals atleast once a year. Cervicitis may be the cause of bleeding in between cycles however, other causes have also to be ruled out. An endometrial biopsy should also be added to D&C procedure. Examination of endometrial biopsy will determine whether there is any hormonal imbalance or not. Thanks and take care Dr Shailja Puri