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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Bleeding Post Sex, Pain Due To A Feeling Of Dryness Followed By Irritation. Cause?

It has been almost 10 months since I have had sex. I have recently started seeing someone and we had sex. There was a little pain but it felt more like pain from chafing or dryness, no pressure and not uncomfortable otherwise. Afterwards I noticed that I was bleeding slightly, but the bleeding did not continue. The blood was a normal color and I do not have any abnormal discharge . Having sex again the next day hurt a little more, but it was the same type of pain - felt pain from chafing and dryness and the irritation from the day before. After these two days I was in pain - but again felt as if I had open wounds per say - from chafing. One week later I felt fine - we had sex with same results, and again 1 week later, and same results but a little less painful(pain felt as though it was from chafing, no pressure and not uncomfortable otherwise). Could the bleeding be from a combination of a long duration without sex and then all of a sudden having sex that is a little rough and lasts a while plus not using lubrication?
Mon, 28 Oct 2013
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OBGYN 's  Response
Hi,
Thanks for the query.
Yes, sometimes friction due to intercourse can lead abrasions over the vaginal mucosa.
That can lead to minimal spotting.
Sometimes post coital tears can occur.
In that case, the pain and bleeding can continue for few days.
You didn't mention your age. With progression of age, due to fluctuations in the hormonal levels, moisture at the vaginal mucosa can decrease and can lead to dysparunea.
So better to use vaginal lubricants during intercourse.
This will decrease the friction.
If you are nearing the menopause, better to consult gynecologist once and with her advice can go for estrogen cream.
Take care.
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Bleeding Post Sex, Pain Due To A Feeling Of Dryness Followed By Irritation. Cause?

Hi, Thanks for the query. Yes, sometimes friction due to intercourse can lead abrasions over the vaginal mucosa. That can lead to minimal spotting. Sometimes post coital tears can occur. In that case, the pain and bleeding can continue for few days. You didn t mention your age. With progression of age, due to fluctuations in the hormonal levels, moisture at the vaginal mucosa can decrease and can lead to dysparunea. So better to use vaginal lubricants during intercourse. This will decrease the friction. If you are nearing the menopause, better to consult gynecologist once and with her advice can go for estrogen cream. Take care.