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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Bleeding After Intercourse?

yesterday i was having sex, and my partner had finished and pulled out and said, did you just start you period. i was in shock, he was covered with blood. i haven't had a period for 4 years. i had an endometrial ablation in 2007. there has been nothing since. what could have caused the bleeding?
Fri, 18 Jul 2014
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Psychiatrist 's  Response
hi thanks for posting your query on healthcaremagic.
THE SYMPTOMS WHICH YOU HAVE MENTIONED IN YOUR CLINICAL HISTORY IS COLLECTIVELY REFERRED TO AS "POST COITAL BLEEDING".THERE ARE CAN VARIOUS CAUSES OF POSTCOITAL BLEED ,BUT THE MOST IMPORTANT IN ANY CASE IS A CANCER OF THE GENITAL TRACT ,THAT ONE HAS TO RULE OUT IN EVERY CASE.THE OTHER NON MALIGNANT CAUSES INCLUDE VAGINAL INFECTIONS,CERVICITIS,CERVICAL EROSION,POLYPS,CERVICAL TEARS,URETHRAL RUPTURES ETC.THE IMPORTANT MALIGNANT CAUSES INCLUDE CANCER OF OVARY,ENDOMETRIUM AND CERVIX.SINCE YOU HAVE BEEN A POST MENOPAUSAL WOMAN -NO PERIODS SINCE LAST 4 YEARS AND PAST HISTORY OF ENDOMETRIAL ABLATION,CANCER ENDOMETRIUM RUNS HIGH POSSIBILITY IN YOUR CASE.ALL YOU NEED TO DO NOW IS TO GET YOURSELF AN ENDOMETRIAL BIOPSY FOLLOWED BY TVS-TRANSVAGINAL ULTRASOUND OF THE PELVIS.TUMOUR MARKERS LIKE CA125 WILL BE HANDY.TREATMENT INCLUDES "WARTHEIM'S HYSTRECTOMY" IF CA ENDOMETRIUM IS DETECTED.IT HAS GOOD PROGNOSIS OVERALL.CONSULT YOUR EXPERT GYNAECOLOGIST FOR FURTHER QUERIES.
THANK YOU.
TAKE CARE.
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What Causes Bleeding After Intercourse?

hi thanks for posting your query on healthcaremagic. THE SYMPTOMS WHICH YOU HAVE MENTIONED IN YOUR CLINICAL HISTORY IS COLLECTIVELY REFERRED TO AS POST COITAL BLEEDING .THERE ARE CAN VARIOUS CAUSES OF POSTCOITAL BLEED ,BUT THE MOST IMPORTANT IN ANY CASE IS A CANCER OF THE GENITAL TRACT ,THAT ONE HAS TO RULE OUT IN EVERY CASE.THE OTHER NON MALIGNANT CAUSES INCLUDE VAGINAL INFECTIONS,CERVICITIS,CERVICAL EROSION,POLYPS,CERVICAL TEARS,URETHRAL RUPTURES ETC.THE IMPORTANT MALIGNANT CAUSES INCLUDE CANCER OF OVARY,ENDOMETRIUM AND CERVIX.SINCE YOU HAVE BEEN A POST MENOPAUSAL WOMAN -NO PERIODS SINCE LAST 4 YEARS AND PAST HISTORY OF ENDOMETRIAL ABLATION,CANCER ENDOMETRIUM RUNS HIGH POSSIBILITY IN YOUR CASE.ALL YOU NEED TO DO NOW IS TO GET YOURSELF AN ENDOMETRIAL BIOPSY FOLLOWED BY TVS-TRANSVAGINAL ULTRASOUND OF THE PELVIS.TUMOUR MARKERS LIKE CA125 WILL BE HANDY.TREATMENT INCLUDES WARTHEIM S HYSTRECTOMY IF CA ENDOMETRIUM IS DETECTED.IT HAS GOOD PROGNOSIS OVERALL.CONSULT YOUR EXPERT GYNAECOLOGIST FOR FURTHER QUERIES. THANK YOU. TAKE CARE.