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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Vaginal Bleeding Post Intercourse?

Hi! For the last few months my menstrual cycle has been totally irregular (even 45 days between periods), and my periods lasted for 14-20 days. The period though is very light, mostly dark brown discharge mixed with blood in some days, and it comes with no symptoms whatsoever. It s very stressful because one year ago I usually had heavy periods with terrible pains and breast swelling, and now...just nothing. I took 4 pregnancy tests and all came up negative. Also in the last months I noticed that I bleed (also with few clots)after orgasm. I searched my problem on the internet and I found that it might be a cervical erosion, but the causes that determine this do not match my case, as I never took any contraceptive pill and I am not pregnant. Why is this happening?
Mon, 18 May 2015
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OBGYN 's  Response
You should have mentioned your age and number of family members. That helps in diagnosing.
Vaginal bleeding post intercourse is an alarming signal. The first diagnosis for post coital bleeding that comes to any Gynaecologist's mind is cancer of the mouth of the uterus (Cervix). Moreover, you had heavy bleeding one year ago without any pain. This indicates that the bleeding is unlikely to be from any tumour in the uterus. Either it has to be due to Dysfunctional Uterine Bleeding or from the Cervix.
Post coital bleeding with history of heavy painless bleeding makes the suspicion of cancer cervix more firm.
Dark brown discharge you are having suggests that whatever lesion you are having which is bleeding has got infected or the cells are getting shed off. Again I think of Cancer cervix.
I would urge you to get clinically examined from your Gynaecologist.
May be you may have to undergo a biopsy of any lesion if present on the cervix. It will make the diagnosis fool proof.
If it is Cancer cervix, the Gynaecologist will assess the stage of the cancer and then will take a decision about whether you need surgical, radiational, chemotherapeutic treatment - singly or in combination.
Now the first thing you do is please report to your Gynaecologist ASAP.
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What Causes Vaginal Bleeding Post Intercourse?

You should have mentioned your age and number of family members. That helps in diagnosing. Vaginal bleeding post intercourse is an alarming signal. The first diagnosis for post coital bleeding that comes to any Gynaecologist s mind is cancer of the mouth of the uterus (Cervix). Moreover, you had heavy bleeding one year ago without any pain. This indicates that the bleeding is unlikely to be from any tumour in the uterus. Either it has to be due to Dysfunctional Uterine Bleeding or from the Cervix. Post coital bleeding with history of heavy painless bleeding makes the suspicion of cancer cervix more firm. Dark brown discharge you are having suggests that whatever lesion you are having which is bleeding has got infected or the cells are getting shed off. Again I think of Cancer cervix. I would urge you to get clinically examined from your Gynaecologist. May be you may have to undergo a biopsy of any lesion if present on the cervix. It will make the diagnosis fool proof. If it is Cancer cervix, the Gynaecologist will assess the stage of the cancer and then will take a decision about whether you need surgical, radiational, chemotherapeutic treatment - singly or in combination. Now the first thing you do is please report to your Gynaecologist ASAP.