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Vaginal bleeding and stomach pain after protected sex - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Vaginal and Uterus Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 453 Questions
User :   hi
Doctor :   hI
Doctor :   Iam.dr.xxxx
User :   I need some advice
Doctor :   May i help you now?
User :   Yes
Doctor :   yes please proceed
User :   My girl friend and I had protected sex ten days back. And now to day she has had some stomach pains and slight vaginla bleeding
Doctor :   ok
User :   what could be the cause for this
Doctor :   May i know her age?
User :   26
Doctor :   when was her expected periods?
Doctor :   is she having fever?
User :   she completed her periods 5 days before she we had sex
User :   no fever
Doctor :   was her periods regular?
Doctor :   was she a virgin till then?
Doctor :   ok
User :   she even had these pains three days after the day of sex
User :   no she isnt a virgin
User :   he periods were regular too
Doctor :   it can come fro some due to minor cuts and abrasions in the hymen
User :   ok
Doctor :   was it severe bleeding
User :   no
User :   just slight drops of it
Doctor :   it c an also come from urinary and genital infections
Doctor :   ok
Doctor :   did she check urine for pus?
Doctor :   you may do that
User :   i dont know what that is?
Doctor :   does she have any discharge?
User :   no
Doctor :   it can come from urinary infection
Doctor :   so urine test will rule out that
User :   ok
Doctor :   and even bladder infection called as cystitis
Doctor :   will also cause
Doctor :   abdominal pain
Doctor :   and some blood
User :   could this be sign of pregnancy
Doctor :   spotting too
Doctor :   no chance usually as she had menses 5 days back
User :   ok
User :   so what do you think we should do
Doctor :   and the ovulation is mostly toward the middle of the cycle
Doctor :   like for 28 days it will be near 14
User :   ok
Doctor :   do an urine routine test for looking pus cells?
Doctor :   is she sure that discharge is from vagina?
Doctor :   is she having any renal stone history?
Doctor :   do take 10-15 glasses of water a day for now
User :   no
Doctor :   you may use milk local genital wash like lactacyd gel
User :   no discharges
Doctor :   if she has no allergy to any contents of that
Doctor :   even hymen tear can cause blood spotting and pain
User :   ok
Doctor :   so if she is not relieved after 3 more days
Doctor :   get examined by a gynaec
Doctor :   probably it will be due to minor trauma
User :   ok
Doctor :   but in elderly it can come due to cervical cancer too
Doctor :   even slight hormonal change can cause it
Doctor :   called as spotting between periods
Doctor :   which is normal
Doctor :   is she having any constipation?
Doctor :   is she having regular diet>
User :   yes regular diet
Doctor :   ok
Doctor :   did you use any contraception during intercourse
Doctor :   do you have any pain or discharge from your penis?
Doctor :   you may also do an urine test for infection
User :   i just checked with her, she told me that the blood was accopanied with gel like substance
Doctor :   ok
Doctor :   it is the mucus discharge from the cervix
Doctor :   due to hormonal changes
User :   we used a condom
Doctor :   and normal in between periods
Doctor :   ok
Doctor :   also some infections like chlamydia can cause it
Doctor :   chlamydia is a bacterial infection that is usually transmitted through sexual activity or contact with semen, vaginal fluid, or blood.
Doctor :   is she having any swelling of vagina?
Doctor :   vaginitis and cervicitis can also cause it
Doctor :   other causes are cervical polyps
Doctor :   Cervical polyps are smooth, red or purple, finger-like growths that grow out of the mucus layer of the cervix or the cervical canal.
Doctor :   is she having any itching or burning pain there?
Doctor :   so if the bleeding occurs again you may get her examined by a gynaec
Doctor :   are you there?
User :   Some more details. 29th her menstruation cycle started and 5th we had sex with condoms. 10th was when she had dark brown reddish discharge and then the next following two three days there was white discharge, and tday again there id jelly substance.
Doctor :   did you understand what i said?
User :   yes i did
Doctor :   ok
Doctor :   then check for infections like chlamydia ,gonorrhoea,yeast etc too
Doctor :   do an urine test anyway now?
User :   sorry i was getting more info
User :   urine test for pus, right
User :   could u tell me what r the typical pregnancy symtoms
User :   no itching and burninig
Doctor :   ok
Doctor :   it starts as vomiting nausea and is usually seen towards 4-6 weeks
Doctor :   if you want to confirm do an urine pregnancy test
Doctor :   it will rule out
Doctor :   you may get home test kits from medical shops
User :   ok
User :   is bleeding a sing aswell
Doctor :   so now ask her to take 10-15 glasses of water and wash
Doctor :   her genital area well with some perineal wash
Doctor :   not usually
User :   so i dont think we need to worry to about pregnancy
Doctor :   yes mostly
Doctor :   do urine pregnancy test to confirm
Doctor :   if you are worried
Doctor :   hope you understood well
Doctor :   is there anything else i can help you with now?
Doctor :   thanks for consulting...
User :   thank you
Doctor :   Wishing... a speedy recovery
Doctor :   bye for now..
User :   bye
Doctor :   take care..
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