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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Blood In Urine, Abdominal Pain And Vaginal Bleeding After Intercourse?

My boyfriend and I had sex 5-6 weeks ago and when we first started he didn t have on protection so we stopped and put a condom on and after that I had all the signs of pregnancy and I started my period early I just got off last Thursday but we just had sex again yesterday and I peed blood and now I m getting pains in my lower stomach and I m bleeding what could it be?
Tue, 13 Dec 2022
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Anesthesiologist 's  Response
Hello,

Vaginal bleeding after an intercourse is very common. As you got your period, you can't be pregnant. Pain in the lower abdomen may be because of the following conditions:
1) Pelvic inflammatory disease meaning infection and inflammation of uterus, fallopian tubes and adnexa (PID)
2) Vaginitis either bacterial or trichomonias or candidial
3) Endometriosis
4) Ectopic pregnancy

Physical examination and few tests like blood counts, cervical or vaginal discharge examination on saline microscopy for pus cells, ultrasound imaging of abdomen and pelvis, ESR and CRP.

Treatment depends upon the cause and a course of antibiotics is essential for PID. Blood in urine is seen in:
1) Urinary tract infections which is the most probable cause in your case
2) Kidney infections
3) Kidney or bladder stones
4) IgA nephropathy

Urinary tract infections are common and mostly associated with vaginal infections in sexually active females after intercourse. The following tests are essential to confirm a urinary infection:
1) Complete urine examination
2) Urine culture and sensitivity

Tab. Norflox for 3 days is advised for urinary tract infection. Please do consult a gynecologist if the pain in lower abdomen and vaginal bleeding continue.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pallavi M., Anesthesiologist
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What Causes Blood In Urine, Abdominal Pain And Vaginal Bleeding After Intercourse?

Hello, Vaginal bleeding after an intercourse is very common. As you got your period, you can t be pregnant. Pain in the lower abdomen may be because of the following conditions: 1) Pelvic inflammatory disease meaning infection and inflammation of uterus, fallopian tubes and adnexa (PID) 2) Vaginitis either bacterial or trichomonias or candidial 3) Endometriosis 4) Ectopic pregnancy Physical examination and few tests like blood counts, cervical or vaginal discharge examination on saline microscopy for pus cells, ultrasound imaging of abdomen and pelvis, ESR and CRP. Treatment depends upon the cause and a course of antibiotics is essential for PID. Blood in urine is seen in: 1) Urinary tract infections which is the most probable cause in your case 2) Kidney infections 3) Kidney or bladder stones 4) IgA nephropathy Urinary tract infections are common and mostly associated with vaginal infections in sexually active females after intercourse. The following tests are essential to confirm a urinary infection: 1) Complete urine examination 2) Urine culture and sensitivity Tab. Norflox for 3 days is advised for urinary tract infection. Please do consult a gynecologist if the pain in lower abdomen and vaginal bleeding continue. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pallavi M., Anesthesiologist