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Cause of post coital bleeding - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Women Sexual Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2248 Questions
User :   Dear User, You have started the trial chat with our doctor. This chat is only to provide you an idea how an actual chat would be like. Please note that the time of this chat is insufficient for the doctors to provide you a detailed answer to your questions. After the trial period, you will be redirected to the Payment page and you can select a package of your choice.
Doctor :   hi
User :   hi there
User :   okay
Doctor :   This is Dr. XXX
User :   i have written out my question already
Doctor :   How may I help you?
User :   thankyou for your time dr XXX
User :   I am a 20 year old female. This question is in regards to some bleeding i have been experiencing after having sexual intercourse twice. The first experience, two weeks ago, my boyfriend and i used a condom; knowing it was my first time he was relatively careful. I experienced some bleeding that night and some very light bleeding the 2 days that followed. The second time about 5 days ago (2 days after finishing my period), it was a similar thing, a little less bleeding after intercourse, some light bleeding the next two days and then these last 3 days i have experienced rather heavy bleeding - as if to say i had my period again. I have had no other symptoms, no tenderness, no abdominal pain, cramps etc.
User :   i have no pain but i am getting stressed as to whether these symptoms are usual after having sexual intercourse the first few times?
Doctor :   Do you think the bleeding is coming from periods?
User :   my period appeared to finish last thursday
Doctor :   If you are intercourse during periods, bleeding is common
User :   (last sunday to thursday i was menstruating)
Doctor :   If the bleeding is happening after the periods it is abnormal
User :   then the last 2/3 days it has been rather heavy
Doctor :   It could be traumatic intercourse like mucosal laceration.
Doctor :   If it continues you need cervical examination to rule out cervicitis
Doctor :   You need papsmear
Doctor :   Hi
User :   can you explain to me what it is that a papsmear is used to diagnose?
Doctor :   OK
User :   is this the same doctor i was just talking to?
Doctor :   Surely I will
Doctor :   I think you know the uterus and it shape
Doctor :   The lower part of the uterus is just 2 inches long and is prone to get infected
Doctor :   If the sexual habits are not hygienic, or if there are multiple seual partners the cervix is infected with HPV a type of virus
Doctor :   Chronic infection of the cervix causes many changes in the cervic leading to cervical cancer
Doctor :   Every woen who is sexully active shouls have the pap smear test annually
User :   okay
User :   i have become sexually active 2 weeks ago
User :   the 2nd time
User :   just after menstruating
User :   and still i am bleeding
Doctor :   What is it Pap smear test: Gynecologist will do speculum examination and using brush he will take cells from cervix
Doctor :   and the cells are sent to pathology lab to look for any chnages in the cells
User :   are you listening to my qyestion at all?
Doctor :   I am reviewing your history again
User :   okay
User :   thankyou
Doctor :   The bleeding per vagina after initial sexual intercourse is very normal
Doctor :   But I was trying evaluate if you have a deeper injury leading to prolonged bleeding
Doctor :   The injury can be to the vaginal wall or cervix
User :   okay
Doctor :   Now tell me how many pads do you use per day from the time this bleeding started
User :   i use tampons, and i have had to use them the last 2 days as if it was a normal period
User :   that is 4/5 hours and i need to change
Doctor :   Tampons themselves can aggravate the already injured part
Doctor :   I do not suggest that
Doctor :   Do you have pain now?
User :   i am a dancer, it makes my situation difficult
User :   no pain
Doctor :   Ok fine, from what you described me I feel that you might have deeper lacerations in the genital tract that is causing bleeding
Doctor :   The next thing you have to do is get it checked with a vaginal examination
Doctor :   by a doctor
User :   okay
User :   thankyou for your help
Doctor :   I have a suggestion for you
Doctor :   before we leave
User :   yes...
Doctor :   Do not try to have an intercourse unless you get lubricated sufficient enough or else you can use artificial lubrication , it helps at least during the initial days of intercourse
User :   okay i think that is what may have caused this
User :   thankyou
Doctor :   Is there anything else
Doctor :   Thank you once again
User :   if it stops
User :   am i still in need of a doctors consultation or can i wait until my checkup in a month?
Doctor :   Blood has a natural mechanism of clotting and then healing the area
Doctor :   So that protects you
Doctor :   Most of the injuries heal by themselves
Doctor :   Hence you do not need to worry if it stops
User :   okay
User :   thanyou again
Doctor :   Bye for now

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