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What causes inter menstrual bleeding? - Online Doctor Chats

Date : 24-Apr-2014
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
User:Hi,

I bled two days after having protected sex and it persisted a few days, and therefore I thought that my period arrived early and have started to take birth control pills. However, now the bleeding had occurred again a week later, at a time which is when my period is usually due. The discharge has been red to brown blood discharges.

I am worried.
Doctor:Hi
User:Hi
User:I have stopped taking birth control pills
Doctor:Did you have sexual intercourse anywhere between day 10 and 16 of your cycle?
Doctor:Okay
Doctor:I mean, unprotected
User:No it was protected
User:Between those days I believe
Doctor:Okay
Doctor:If it was protected then you don't have to worry
User:But why is it bleeding like that?
Doctor:otherwise, the bleeding you had one week before your usual time could be implantation bleeding
User:Could it be that the condom leaked?
Doctor:probable
Doctor:But you have had your regular period as well
User:But I am bleeding again a week after the first bleeding occurred
User:That's what I am unsure of
Doctor:This could mean the pills might have caused abortion
Doctor:Yes, it is confusing
Doctor:It is too early to say anything with certainty
User:So I bled two days after sex for around five days and the bleeding was light
Doctor:I would advise you to wait and see how it goes
Doctor:Oh okay
Doctor:May I know your age?
User:And then now, when it's usually when my period is due, I have started to bleed again
User:28
Doctor:Okay
User:And this bleeding is not like my usual flow for periods
Doctor:It is not unusual to have some alterations in the menstrual cycles
User:The second bleeding is not like my usual flow
Doctor:Okay
Doctor:how is it then?
User:The second bleeding started this morning when I woke up
User:And it was red and quite a lot like my usual period
User:So I thought ok period. But now I just checked a few minutes ago, it was like spotting and dark brown
Doctor:okay
User:Very light bleeding
Doctor:Okay
Doctor:You can wait for another week and do a pregnancy test
User:How likely is it that I'm pregnant?
Doctor:Very unlikely
User:Or worse contracted some kind of disease
Doctor:It is not any disease
Doctor: XXXXXXX
Doctor:t worry
Doctor:Just do a pregnancy test in another two to three days or 1 week later
User:Is it possible that my partner ejaculated in the condom but kept going and the semen leaked out the condom?
Doctor:If you get a positive test, then this bleeding would mean an abortion
Doctor:Yes, that is possible
User:So I should wait another week to do the pregnancy trat
User:Test
Doctor:If you get a positive pregnancy test, then you should get an ultrasound scan done to see if there is anything still in
Doctor:You may do it now, or you can wait
User:It is better to wait?
Doctor:since you may still be having some spotting, I told you to do it after 2 or 3 days
User:Ok
User:And should I get std tests done?
Doctor:Usually, the home pregnancy test kits show positive after 15 days or 25 days of conception
Doctor:No, STD test not required if you do not have any other symptoms
Doctor:like fever, burning or pain while passing urine etc
User:Ok I don't have those
User:So wait three days and then do pregnancy test
User:?
Doctor:Yes, that is why I said, relax, don't worry about STDs
Doctor:Yes, that would be fine
Doctor:wait for 3 days and do a pregnancy test
User:And if it is positive it means I am not pregnant?
Doctor:if it is positive then you would need an ultrasound scan
Doctor:If it is positive, it means you are/were pregnant
User:So what is this abortion you mentioned earlier about spotting
Doctor:and most probably this bleeding was an abortion
User:Oh
User:Could you please explain why an abortion has happened?
Doctor:if the test is negative, then it is advisable to repeat the test after 2 more weeks to be absolutely sure that your are not pregnant
Doctor:I suspected an abortion because you took birth control pills
Doctor:they could at times cause an abortion
Doctor:and you have had bleeding twice in a short period of time
Doctor:so I guess it could be an abortion
User:Ah I see
User:So i should resume taking the pills or halt it like I am doing now
Doctor:You can resume the pills if you do not wish to be pregnant
User:Ok
Doctor:Is there anything else I can help you with?
User:That's is all thank you
User:At least my mind is at ease now
User:Esp in regards to disease
User:Thank you for your advice
Doctor:You are most welcome
Doctor:Thanks for consulting me here
Doctor:have a good day
Doctor:bye
User:Bye
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