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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Bleeding After Having Sex?

WHEN MY HUSBAND GO TO BRUNEI WE DON'T HAVE SEX FOR 6 MONTHS AND THEN WHEN WE MEET WE HAVE SEX AFTER A WEEK I HAVE BLEEDING, I GO TO OB-GYNE, THE DR. SAID I GOT EROSION AND THAT OCCURS WHEN I GIVE BIRTH TO MY SON, WE ONLY GOT 1 CHILD AND 5 YEARS OLD ALREADY. DR. GIVE ME ANTIBIOTIC AND SOME MEDICINES AFTER A MONTH STILL THE SAME AFTER SEX W/ MY HUSBAND THERE'S A BLEEDING. IM SCARED IN FUTURE IT WILL CAUSE TO CANCER.
Thu, 15 Oct 2015
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OBGYN 's  Response
You should have mentioned your age.
Bleeding after the intercourse needs to be evaluated and investigated seriously and thoroughly. This is not the only occasion, it has happened repeatedly.
Post coital bleeding with erosion on cervix raises a suspicion of cancer of cervix. However, you have only one child. This is not supporting diagnosis of cancer cervix.
Best option is to get biopsy of your cervix done.
Cancer cervix in early stages (stage I & II) has got better prognosis than advanced stages. So please do not waste time to get biopsy and its histopathology examination done.
If it turns out to be a non cancerous lesion and only infective, it can be completely cured. Such cervical erosion is due to chronic infection of the cervix. If it is not getting cured by course of antibiotics, it will have to be cauterised. That will take care of erosion.
However, before this, cervical biopsy with histopathology is priority.
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OBGYN Dr. Jacqueline Brown's  Response
Hello, and I hope I can help you today.

Bleeding after sex, or postcoital bleeding, can have many causes. Some can be threatening to your health, such as certain kinds of infections and pre- or cancerous conditions of the cervix. However, if you had a PAP smear at the OBGYN doctor and it was normal (which I assume it was- that is the first thing doctors usually check) you do not need to worry about cancer now or in the future.

"Erosion", or ectropion of the cervix, is actually not a disease, but it is just the way your cervix healed after childbirth. Your cervix (the opening of your womb to the vagina) is covered with skin on the outside but in the canal of the cervix (the passageway that leads to your uterus) is lined with cells that are delicate and have a lot of blood vessels. If your cervix healed with the canal partially open (which happens sometimes after childbirth) that tissue can be exposed in the vagina and can bleed when it gets scraped. The bleeding is not dangerous as long as it is not heavy or prolonged.

So you do not have to worry about cancer as a cause or potential complication of ectropion of the cervix. It can be difficult to treat though.
Sometimes taking birth control pills can help if you and your husband do not want to become pregnant again now, or a procedure could be performed to burn or freeze these exposed areas. But as long as you had a normal PAP smear you do not have to worry about cancer.

I hope I was able to answer your question today and that my advice was reassuring.

Best wishes and good luck with the further management of your condition,

Dr. Brown
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What Causes Bleeding After Having Sex?

You should have mentioned your age. Bleeding after the intercourse needs to be evaluated and investigated seriously and thoroughly. This is not the only occasion, it has happened repeatedly. Post coital bleeding with erosion on cervix raises a suspicion of cancer of cervix. However, you have only one child. This is not supporting diagnosis of cancer cervix. Best option is to get biopsy of your cervix done. Cancer cervix in early stages (stage I & II) has got better prognosis than advanced stages. So please do not waste time to get biopsy and its histopathology examination done. If it turns out to be a non cancerous lesion and only infective, it can be completely cured. Such cervical erosion is due to chronic infection of the cervix. If it is not getting cured by course of antibiotics, it will have to be cauterised. That will take care of erosion. However, before this, cervical biopsy with histopathology is priority.