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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Bright Red Vaginal Bleeding After Having Sex?

Hi I am 22 yrs old, Have had a "few" sexual partners, I have been treated for bacterial vaginitis 3 times in the past 3 years, I had clymidia maybe 5 years ago, I get checked regularly and have papsmears yearly, I just had a papsmear done in febraury that came back fine and no STDs. My question is, me & the guy I am dating now, started having sex a month ago, his penis is fairly larger then the most I've been with and everytime we have sex I bleed very bright red blood, there is no pain during sex and I usually don't bleed after sex other than maybe a little bit of pinkish on the wipe. It is ALOT of blood feels like I'm very wet during sex then when we are done both of us are covered as well as the sheets. What is wrong? Or what can I try to prevent this?
Wed, 29 Mar 2023
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General & Family Physician 's  Response
Hello,

You bleed after sexual intercourse. You have history of having chlamydia, you also had bacterial vaginitis for which you have been treated. You are suggested to avoid rough sex or deep penetrations as it can cause vaginal bleeding due to internal injury, abrasions, tearing, cut or an infection. Cervical polyp, growth in the uterus, cancer can also cause bleeding per vagina after penetrative sex.

Since you already had chlamydial infection, you should get re-rested, urinalysis (R/E and C/S), get a routine pap smear, test for HPV done. For chlamydia, test the swab of the discharge from your cervix for culture or antigen testing. Chlamydial infection & STI also cause bleeding. Medical conditions that cause bleeding are cervical ectropion, cervicitis, vulvovaginitis, etc.

You are suggested to avoid multiple partners as you are very young and should not get STIs. Always perform safe sex and use condoms. Using water or silicone-based lubricants help prevent bleeding caused by vaginal dryness and friction during sex. Get clinically examined by a gynecologist, get per vaginal tests and required tests and investigations done. Your treatment will depend on the pathology detected.

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

Regards,
Dr. Nupur K., General & Family Physician
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What Causes Bright Red Vaginal Bleeding After Having Sex?

Hello, You bleed after sexual intercourse. You have history of having chlamydia, you also had bacterial vaginitis for which you have been treated. You are suggested to avoid rough sex or deep penetrations as it can cause vaginal bleeding due to internal injury, abrasions, tearing, cut or an infection. Cervical polyp, growth in the uterus, cancer can also cause bleeding per vagina after penetrative sex. Since you already had chlamydial infection, you should get re-rested, urinalysis (R/E and C/S), get a routine pap smear, test for HPV done. For chlamydia, test the swab of the discharge from your cervix for culture or antigen testing. Chlamydial infection & STI also cause bleeding. Medical conditions that cause bleeding are cervical ectropion, cervicitis, vulvovaginitis, etc. You are suggested to avoid multiple partners as you are very young and should not get STIs. Always perform safe sex and use condoms. Using water or silicone-based lubricants help prevent bleeding caused by vaginal dryness and friction during sex. Get clinically examined by a gynecologist, get per vaginal tests and required tests and investigations done. Your treatment will depend on the pathology detected. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician