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Atrophic vaginitis and bleeding post intercourse - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Vaginal and Uterus Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 674 Questions
Doctor :   Hi
Doctor :   Dr XXXXXXXX here
Doctor :   How can I help You
User :   Hello. I had a c section & hysterectomy 3 1/2 years ago; cervix was taken out as well. Earlier tonight, my partner fingered me and gave me oral sex for over 2 hours. I bled heavily on his bedspread but felt no pain and still have some light bleeding. What could be the causes & should I be concerned?Sorry to be so frank & thank you.
Doctor :   Let me read Your query?
User :   Thanks.
Doctor :   May I know Your age?
User :   Yes, I will 40 in 2 weeks.
Doctor :   Why was a hysterectomy done?
User :   Due to endometriosis and because I did not want more children so my ob decided to combine the procedures.
User :   Only my left ovary remains & I had to have 4 pints of blood transfusions during the operation.
Doctor :   Ok
Doctor :   Before this have yOu ever had any bleeding?
User :   Never and no offense, but I had multiple orgasms, so it was nothing painful.
Doctor :   Ok
Doctor :   It is possible that the bleeding could be due to a vaginal condition however Other conditions have to be ruled our
Doctor :   I would suggest that You meet your gynaecologist for a vaginal examination and to rule out any other causes of bleeding
User :   I have an appointment with him in a couple of weeks to discuss having my left ovary removed since I have a cyst on it. What could be the possible vaginal condition or other causes?
Doctor :   There are many causes however without examining You I cannot sugest an acurate cause
User :   How many causes?Could you give me a few?Do I need lab work done on my platelets?
Doctor :   granulation tissue due to healing of vagina can bleed due to the increased strain due to intercourse hence I wuld suggest that you avoid intercourse until You meet Your gynaecologist
Doctor :   Endometriosis of vagina is another possibility
User :   We didn't have sexual intercourse.
Doctor :   Due to low estrogen levels women could develop a condition called atrophic vaginitis
User :   Wouldn't my vagina have healed by now(3 1/2 years later) ?
Doctor :   prolapse ofshould be ruled out
User :   Would the sexual activity have caused it?
Doctor :   a malignancy also should be ruled out
Doctor :   have You noticed any mass or change in urinary frequency?
User :   I pee a lot more, but my urologist says I don't have a bladder infection
Doctor :   Granulation tissue in vagina commonly bleeds on consult your gynaecologist for a per speculum examination of vagina
User :   I haven't noticed a mass but I was having problems with pooping(it took 10 days & a visit to the er to clear that up) & my gi still wants to do an endocscopy and abdominal ultrasound; do you think that is a good ideas as well?
Doctor :   Yes prolapse should also should be ruled out
User :   The gi tests could rule that out?
Doctor :   Yes
Doctor :   Doing these tests are a good idea
User :   Ok, I will call tomorrow to get those procedures scheduled and keep my appointment with my ob. I have a partner that I have sexual intercourse with but I have not had any bleeding with him.....bizarre.
Doctor :   Also get a stool occult blood done
Doctor :   Ar e You having weight loss?any history of cancer in Your family?
User :   I can have my colo rectal doctor do that; I have an appt with her in 2 weeks.
Doctor :   Any dryness in Your vqagina?
User :   Yes; I lost 17 lbs & my uncle got colon cancer in his 30s & my older uncle died a few months ago of multiple myeloma; had a colonoscopy Nov. 2009 & it was normal.
User :   STrong history of breast cancer in my family as well; some vaginal dryness.
Doctor :   Yes You should rule out malignancy.Please tell Your doctors about this
User :   Ok; thank you; my time is up in 10 seconds now; you've been very helpful.
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