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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Orgasm, Strong Cramps After Clitoral Stimulation. Vaginal Bleeding Started. Normal? On Nuvaring, Sexually Active

After clitoral stimulation earlier today I orgasmed - along with the orgasm I felt very strong cramps (like from menstrautatiom). About a half hour later I was still cramping and began to bleed vaginally. It s been over 12 hours and I am still bleeding . Is this normal? This happened once before, about 1.5 months ago and I ended up spot bleeding for about 2 weeks straight (in between my period). I have been on the nuvaring for about 7 years now and I have never spot bled before. Also, I have been sexually active for many years and this doesn t happen as a result of vaginal intercourse. Please help!
Tue, 31 Dec 2013
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OBGYN 's  Response
Hi,
The hormone oxytocin released during sexual activity is the cause of the orgasm and the cramps of the uterus that happen later. Severe cramping may sometimes lead to spotting; yet it is always better to get a specialist guided opinion. I would suggest a physical evaluation by a gynecologist to rule out local causes like erosions, infections, polyps etc for proper management of your condition. A pap smear and a vaginal swab also would be useful, as is a urinalysis. Hope your query has been clarified. Take care.
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Orgasm, Strong Cramps After Clitoral Stimulation. Vaginal Bleeding Started. Normal? On Nuvaring, Sexually Active

Hi, The hormone oxytocin released during sexual activity is the cause of the orgasm and the cramps of the uterus that happen later. Severe cramping may sometimes lead to spotting; yet it is always better to get a specialist guided opinion. I would suggest a physical evaluation by a gynecologist to rule out local causes like erosions, infections, polyps etc for proper management of your condition. A pap smear and a vaginal swab also would be useful, as is a urinalysis. Hope your query has been clarified. Take care.