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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Post Coital Bleeding?

hi Doctor, i am approaching 40 years and then lately i noticed that i sometimes have post coital bleeding when i have an intercourse with my husband a week prior to my menses and few days after my menstrual period especially if during orgasm he wants to have a deep penetration and moreso he loves to do it when i am in all fours (dog position) i hope you can give an answer as i am worried about it. i had history of bilateral salpingectomy and one D&C i started having intercourse at the age of 18
Fri, 24 Feb 2017
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OBGYN 's  Response
Hello,
I have gone through your query and understood the concern. Rough intercourse can often cause post coital bleeding due to trauma. Apart from this, considering your age, it is preferable to have a complete clinical evaluation and get a pap smear. Vaginal and cervical infection, erosion of the cervix, polyps of the cervix and the endometrium can also cause post coital bleeding. If you have had unhealthy pap smear reports in the past, it is significant and you may need colposcopy. Salpingectomy cannot be the cause of such bleeding; the cause of the D&C is important. Hope this helps.
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What Causes Post Coital Bleeding?

Hello, I have gone through your query and understood the concern. Rough intercourse can often cause post coital bleeding due to trauma. Apart from this, considering your age, it is preferable to have a complete clinical evaluation and get a pap smear. Vaginal and cervical infection, erosion of the cervix, polyps of the cervix and the endometrium can also cause post coital bleeding. If you have had unhealthy pap smear reports in the past, it is significant and you may need colposcopy. Salpingectomy cannot be the cause of such bleeding; the cause of the D&C is important. Hope this helps.