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Bleeding post sex, pain in breasts, hematoma, blurred vision - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Women Sexual Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1774 Questions
Doctor :   hi
Doctor :   are u there?
User :   hello I had problem with chat
User :   I purchased
Doctor :   ok
User :   So after speaking with my wife she has told me more
Doctor :   please proceed
User :   She only felt pain during a moment
Doctor :   ok
User :   like awkward penetration
User :   but not pain like after cut
Doctor :   is she still bleeding
Doctor :   her age?
User :   her bleeding is like spot and if we have intercourse agin there is no blood
User :   she is 21
User :   again*
Doctor :   ok
Doctor :   sorry about that
Doctor :   the reason i asked
Doctor :   was
Doctor :   because incase of sudden hymen tear also
Doctor :   it can occur
User :   this has happened many times
User :   almost every time we have sex
Doctor :   i would say rule out chlamydial infection to be on the safer side
User :   for about 1 month
Doctor :   does she have any other symptom
User :   we have been same sex partners since disease tests and virginity
User :   not in that area
User :   she compalins about pain in breasts on a regular basis
Doctor :   like i mentioned it can be due to endocervical polyp which bleed when jostled during intercourse
Doctor :   as she is 21
User :   I am not familiar with that
Doctor :   it can also be due to hormanal imbalance
User :   she was at doctor today for tenderness in breasts and the doctor said could be hormones
Doctor :   exactly
User :   she said nothing about this problem
Doctor :   it can be due to hormonal imbalance or due to polyp
User :   and when she had a pap the doctor saw nothing
User :   what is polyp
Doctor :   polyp is aprojection
User :   I am not familiar with those terms
Doctor :   they are benign pedunculated growths
Doctor :   from the cervix
User :   wouldnt they have seen this during the pap
Doctor :   Cervical polyps are relatively common, especially in women older than 20
Doctor :   no it is seen by examination
User :   she tells me she can see a scratch though
Doctor :   In taking a Pap smear, a tool is used to gather cells from the outer opening of the cervix (Latin for "neck") of the uterus and the endocervix. The cells are examined under a microscope to look for abnormalities. The test aims to detect potentially pre-cancerous changes
Doctor :   i suggest
Doctor :   there is nothing to worry
User :   The doctor today said her breast most likely hurt because it is normal girls her age
User :   She gets very upset by this though
Doctor :   if it is less blood thats coming out from time to time then it probably is due to hormonal im balance
Doctor :   i understand
User :   would this cause her breasts to hurt?
Doctor :   yes
Doctor :   it can
User :   what should she do to fix this?
User :   we want to begin treatment
Doctor :   it can be treated
Doctor :   since
Doctor :   she is bleeding due to hormonal imbalance
Doctor :   birth control pills or other hormones.
Doctor :   can
Doctor :   control it
User :   is this something we can purchase at pharmacy
Doctor :   yes but u need prescription for it
User :   for all hormones
User :   Can she get anything for the meantime
Doctor :   i also want to ask
Doctor :   u to get a thyroid profile done
Doctor :   so that we can rule out
Doctor :   The treatment depends on the cause. If the cause is a hormone imbalance, your doctor may suggest you take birth control pills or progesterone.
User :   ok They examined her breasts today and found nothing, but scheduled her for a mamogram is this necessary
Doctor :   it is
Doctor :   to be on the safer side
Doctor :   but nothing to worry
User :   ok
Doctor :   it is a routine procedure
Doctor :   If a thyroid problem is causing your bleeding, treatment of that problem itself may stop the bleeding.
User :   ok
User :  
Now in Jan. She took abortion pills and had bad sideeffects
Doctor :   ok
User :   it was in the ukriane, and i understand she had bad reaction with alcohol
Doctor :   what happened
Doctor :   ok
User :   She became very sick, and then for about 2-3 weeks suppered from high blood pressure
Doctor :   alcohol does have drug interaction with the pils
Doctor :   so u have to be very careful when u mix alcohol with any drug
User :   could this be causing an imbalance
Doctor :   no probably not
User :   ok, so we do thyroid exam and mamogram and suggest possible hormone imbalance
Doctor :   hormonal imbalance occurs due to hormones being in excess than what the body can use
Doctor :   or less
Doctor :  
yes it will definetly give us a better picture
User :   what do you reccomend. We are currently not insured, and her recent visits to the doctors have been costly, and not progressive
Doctor :   ok i understand
User :   she has been twice for breast pain, and the doctor has simply performed breast exa,s
User :   exams*
Doctor :   does she have any symptoms which u might have passed off as normal like say increased
Doctor :   sweating than
Doctor :   normal
User :   no
Doctor :   she gets tired very easily
User :   yes
Doctor :   she is losing weight
User :   sensitive
Doctor :   a bit
User :   pretty slim
User :   has been stressed from moving across world away from mother
User :   crys about these symptoms
Doctor :   these subtle symptoms
Doctor :   canbe due
Doctor :   to thyroid
Doctor :   i understand it must be distressing for her
Doctor :   have u been using protection before intercourse
User :   is thyroid a disease
User :   no
Doctor :   no hyperthroidism is
Doctor :   so she s on the pill
User :   no no pill
Doctor :   ok
Doctor :   i suggest get a thyroid profile done i dont think its a costly procedure get the t3 t4 tsh levels
User :   her bleeding is like small drop, and is only if she forces tissue inside her
Doctor :   ok
User :   do we need the mamogram or is she not in need of that at this age
Doctor :   does she have any swelling in the breasts
User :   no
Doctor :   she probably doesnt need a mammogram at young age
Doctor :   like 21
Doctor :   does she have a family history
User :   ok i thought that sounded like over kill
Doctor :   of any breast related
Doctor :   disease
User :   no
Doctor :   no 21 is young age
User :   So you believe imbalance of hormones is causing hyperthroidism and tenderness in breasts
Doctor :   probab;y but u need to get the tests done to get a better picture
User :   She had an inciddent in October she fell down and had a hematoma on her right breast, but was acute and not visible
Doctor :   ok
User :   She claims that breast hurts more
User :   and it dosent hurt when she lays down
Doctor :   ok
User :   and nipples feel like burning
Doctor :   is that breast always tender
User :   just past week
Doctor :   ok
User :   and more before periods
Doctor :   ok
Doctor :   any history of fever
User :   no
Doctor :   ok
Doctor :   so the haematoma was treated by?
User :   in ukraine. She says pills and cream, with compress
User :   for 2 weeks
Doctor :   ok
Doctor :   dont worry that has nothing to do with the present symptoms
Doctor :   then
User :   ok
Doctor :   get the tests done
User :   so you reccomend thyroid exam and then reccomend imbalance of hormones or will the thyroid exam show results
Doctor :   i would suggest imbalance and then thyroid
Doctor :   because u mentioned mild bleding
User :   ok how will they test imbalance
Doctor :   in thyroid related it is moderate bleeding
Doctor :   they check for serum progesterone
Doctor :   serum oestrogen
Doctor :   fsh and lh
User :   ok is it simple or complex, and what about sex in the mean time?
Doctor :   u can have intercourse nothing to worry
Doctor :   the most important thing is
Doctor :   you have to comfort her and make sure she doesnt panic
User :   she believes she saw small cut inside her what can she use for that? Aloe?
User :   I believe no scratch
Doctor :   cut as in wound or ulcer
User :   wound
Doctor :   neosprin ointment will do
Doctor :   ensure no infection occurs
User :   ok
Doctor :   till it heals
User :   ok how can you id an infection
User :   there is no pain
User :   and wouldnt the doctor have seen this
Doctor :   she will have fever or burning micturition
Doctor :   he would have
Doctor :   i am suggesting if there is a cut then she will be susceptible
Doctor :   for infection
User :   she has been having this problem for a month now though
Doctor :   ok
User :   and she thinks she sees cut in mirror but can not find afterwards
User :   I must also say she checks her temperature about 5 times a day for no reason
User :   I believe hypocondrea
Doctor :   get a vaginal examination done if it relieves her
Doctor :   no most women are paranoid with changes in their body no matter how subtle it is
User :   I understand
User :   This has been great for the both of us. We can make an appointment ASAP
Doctor :   definetly
Doctor :   it would be nice if u can get back to us with the reports
Doctor :   do u have any other queries?
User :   she is thinking
Doctor :   ok
User :   she does
Doctor :   please proceed
User :   has been like one week having trouble with her vision
User :   Like blurred vision
User :   Normally perfect
Doctor :   ok
Doctor :   through out the day
User :   yes, and fluctuates
Doctor :   since when you have this
User :   like about a week
Doctor :   ok
User :   same as breasts
Doctor :   do you have any eye sight
User :   yes just reduced
Doctor :   what is the power of your eye
User :   she was tested 20/20
Doctor :   ok
Doctor :   normal will be 6/6
User :   now cant read 2 inch letters 15 feet away
Doctor :   ok
Doctor :   is she using spectacles
User :   it was in Ukraine shes says they said 100% vision
Doctor :   ok
Doctor :   when was the last vision tested
User :   no. she was tested in Dec.
Doctor :   ok
Doctor :   she needs to retest her vision again
User :   is it possible she lost her vision perminitly
Doctor :   it is not like that
Doctor :   she may be having eye sight
Doctor :   which can be corrected by using sepectacles
User :   this isnt temporary though
Doctor :   you need to see a OPthalmologist
User :   and with fluctuations
Doctor :   and get com[plete eye check up done
User :   ok
Doctor :   she may asked to do some investigations to know the cause
User :   could it be caused by stress?
Doctor :   stress usually will not cause this kind og vision problems
User :   ok thank you
Doctor :   kindly fill up the feed back form
Doctor :   and say done when it is filled
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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