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What Causes Heavy Bleeding And Cramping After Having Sex?
Question: I'm 54. Had my period for a little over two weeks really bad. Finally stopped for 2 days had sex w/ boyfriend and its like I broke a blood clot. Now bleeding& cramping & bleeding heavy w/clotting
Brief Answer:
need more information
Detailed Answer:
Hello dear,welcome to healthcare magic.I understand your concern.
In my opinion bleeding at this age needs to be evaluated to rule out any uterine or cervical abnormalities.
Before going to discussion I would like to know:-
1)Are your periods continuing regularly?
2)Since how many years the periods are heavy?
3)Any investigations done regarding heavy and continuity of periods?
4)Any offensive vaginal discharge?
5)Any postcoital bleeding?
6)Are you diabetic or hypertensive?
Kindly provide me the information.
Looking forward to hear from you.
Best regards...Dr.srilatha
need more information
Detailed Answer:
Hello dear,welcome to healthcare magic.I understand your concern.
In my opinion bleeding at this age needs to be evaluated to rule out any uterine or cervical abnormalities.
Before going to discussion I would like to know:-
1)Are your periods continuing regularly?
2)Since how many years the periods are heavy?
3)Any investigations done regarding heavy and continuity of periods?
4)Any offensive vaginal discharge?
5)Any postcoital bleeding?
6)Are you diabetic or hypertensive?
Kindly provide me the information.
Looking forward to hear from you.
Best regards...Dr.srilatha
Above answer was peer-reviewed by :
Dr. Shanthi.E
Periods mostly regular but light to normal. No discharge. light postcoital usually day after. Not diabetic or hypertensive
Brief Answer:
Delayed menopause needs to be investigated
Detailed Answer:
Hello dear,thanks for the information.I understand your concern.
In my opinion usually menopause sets in between 47 to 50 years of age.
Delayed menopause normally is seen in case of healthy people.
Abnormal causes for delayed menopause is seen in fibroids,endometrial pathologies like carcinoma .
So I suggest you to get an ultrasound done to rule out the fibroids.
And endometrial pathologies can be ruled out by D&C.D&C is a procedure where endometrium is scraped and it is sent for histopathological examination.
You can take tab.Tranexamic acid 500 mg twice or three times a day for 3 to 5 days to stop the bleeding temporarily.
D&C also helps to decrease bleeding.You can even go directly to D&C as it is both diagnostic and therapeutic.
Cervical abnormalities also should be ruled out in case of post coital bleeding.So pap smear and cervical biopsy might be needed.
So I suggest you to get ultrasound,D&C,pap smear and cervical biopsy to rule out the abnormalities causing delayed menopause and post coital bleeding.
If everything is normal we can assume that menopausal delay is purely physiological and heavy bleeding is due to hormonal imbalance seen during premenopausal phase.
My aim is not to make you tense madam Iam trying to explain you the different conditions.
Hope this satisfies your query.
Feel free to discuss furthur.
Best regards...Dr srilatha
Delayed menopause needs to be investigated
Detailed Answer:
Hello dear,thanks for the information.I understand your concern.
In my opinion usually menopause sets in between 47 to 50 years of age.
Delayed menopause normally is seen in case of healthy people.
Abnormal causes for delayed menopause is seen in fibroids,endometrial pathologies like carcinoma .
So I suggest you to get an ultrasound done to rule out the fibroids.
And endometrial pathologies can be ruled out by D&C.D&C is a procedure where endometrium is scraped and it is sent for histopathological examination.
You can take tab.Tranexamic acid 500 mg twice or three times a day for 3 to 5 days to stop the bleeding temporarily.
D&C also helps to decrease bleeding.You can even go directly to D&C as it is both diagnostic and therapeutic.
Cervical abnormalities also should be ruled out in case of post coital bleeding.So pap smear and cervical biopsy might be needed.
So I suggest you to get ultrasound,D&C,pap smear and cervical biopsy to rule out the abnormalities causing delayed menopause and post coital bleeding.
If everything is normal we can assume that menopausal delay is purely physiological and heavy bleeding is due to hormonal imbalance seen during premenopausal phase.
My aim is not to make you tense madam Iam trying to explain you the different conditions.
Hope this satisfies your query.
Feel free to discuss furthur.
Best regards...Dr srilatha
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Shanthi.E
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