Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
171 Doctors are Online

Can chronic coughing cause vaginal bleeding?

User rating for this question
Answered by

General & Family Physician
Practicing since : 1991
Answered : 2834 Questions
What causes vaginal bleeding in a patient with severe cough? I have had a hysterectomy, but pinkish vaginal bleeding occurred with this gagging cough. I also have a fair amount of an abdominal pressure feeling, even though I have urinated regularly.
Wed, 13 Jun 2018 in Women's Health
Answered by Dr. Bonnie Berger-Durnbaugh 16 minutes later
Brief Answer:
Thoughts on this

Detailed Answer:

It's possible that the pressure generated from coughing caused a tear along the scar from the past surgery, if it is definitely coming from the vagina and not the bladder.

The tear may be small. There may be small blood vessels at the scar site that are weaker and more prone to bleeding if they are stressed.

I recommend that you go in to have a pelvic exam - both a speculum exam to see where the bleeding is coming from, and a bimanual exam to try to find the location of the pressure feeling and check if there are any abnormalities on palpation.

Depending on how strong your symptoms are, you can wait to see your doctor, if he or she is in tomorrow. Or you can go in to an urgent care clinic today. If you have any further signs of bleeding, I recommend the urgent care.

If you do go in to the urgent care, I have 2 pieces of advice:
1. Request specifically to see a doctor. Many places now save money by staffing mostly with PA and NPs. They do not have the depth of knowledge or training a doctor does.
2. Don't touch your eyes, nose, or mouth until you have come home and thoroughly washed your hands and alcohol wiped your phone and any thing else you may have handled while there. There are a lot of germs at an urgent care, including flu right now.

Above answer was peer-reviewed by
Follow-up: Can chronic coughing cause vaginal bleeding? 9 minutes later
How would I know if it is from a scar not the bladder? I do have a fair amount of abdominal pressure.
Answered by Dr. Bonnie Berger-Durnbaugh 1 minute later
Brief Answer:

Detailed Answer:
One way to differentiate: you can ask the clinic to do a urinalysis, and put in a tampon so that bleeding from the vagina does not entire the urine specimen. If you don't have tampons anymore, most clinics can provide one.

Also, if there is bleeding from the vagina, they will most likely be able to see that during speculum exam.

For figuring it out on your own, it can be harder. Usually pink trace bleeding from the vagina has a bit of mucus in it where blood from the bladder does not, but that is not always reliable.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+

The user accepted the expert's answer

Ask an OBGYN

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor