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What Causes Vaginal Bleeding After Intercourse?

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Posted on Wed, 12 Apr 2017
Question: Hi, i think i have a yeast infection.. yesterday i was wearing panties made of licra and it was kinda itchy but nothing crazy and last night i had sexual intercourse with my boyfriend and i felt a little bit weird.. didnt hurt but didnt enjoy it that much. a couple hours later i started to feel a little itchy again not in the vulva, inside.. nothing crazy though just a little bit. then i went to the washroom and when i wiped i saw a sticky brownish discharge.. so i thought it was the star of my period (today is the 27 day of my cycle so i should get it today or tomorrow so it made sense) i put a pad and went to bed.. i woke up today and nothing.. no blood at all. i went to pee again and i wiped and it was normal.. nothing there but a little bit itchy inside again. 10 mins ago a notice like a withe-beige discharge, thick and flexible.. it could strech like gum.. it was just a little bit but i dont know what can this be? i dont have any other symtpoms.. ive never had this i dont know if it could be a yeast infection or another kind?? Ive read that the withe discharge of a yeast infection looks like cottage cheese.. this one didnt look like it. please help.. whats a bacterial infection..? or candida?? im very confused with google. please detailed answer. my worst fear is to have recurrent infections..
doctor
Answered by Dr. Timothy Raichle (23 minutes later)
Brief Answer:
This sounds like a yeast infection

Detailed Answer:
Thank you for the question and I am happy to help.

When you first went to the bathroom about two hours after intercourse, the brownish discharge was likely just related to a very small amount of bleeding from intercourse. This is very common and comes from the cervix. When the bleeding is very minimal, it often makes its way out as a discharge just like you are describing.

The most common vaginal infections are either yeast infections or something called BV, or bacterial vaginosis. BV is a discharge that is irritating and associated with an odor. This odor is often worse after intercourse when the infectious discharge combines with semen. This does not sound like BV.

Yeast classically is associated with a whitish discharge with itching and no odor. The discharge can be very variable, so I would not get distracted by the fact that it does not fit with what you have read online. I think that your discharge is confused by recent intercourse and an impending menstrual cycle. But given the itching and discomfort with intercourse, this is the absolute most likely explanation. Here is what I would tell a patient in your situation:

1. The most ideal treatment would be oral diflucan (150mg now and repeated in three days). You would need a prescription for this
2. The other option is an over the counter yeast cream, such as monistat. I would do a more prolonged course, such as 5 days
3. Do not worry about this being a chronic problem. It is common and easy to treat and may not occur again for a while.

Does this help?
Dr. Tim
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Timothy Raichle (37 minutes later)
thank you so much for your help! i dont have any itching right now at all but im going to a clinic tomorrow to take some test just to be 100% sure of what this can be and take care of it properly. Im not a fan of pills to be honest.. i dont remember the last time i took one, maybe like 8 years ago. just another question.. what is the cause of yeast infection and bacterial infection? and what are the different kinds of it?
doctor
Answered by Dr. Timothy Raichle (58 minutes later)
Brief Answer:
They are caused by an alteration of the normal vaginal bacteria

Detailed Answer:
The vagina is colonized by 'normal' vaginal bacteria that live in balance with yeast and the bacteria that cause these infections. Anything that alters this normal balance will set you up for an infection. This might include:

1. Recent antibiotics (that kill the normal bacteria)
2. Tight fitting clothes that favor the environment that yeast like
3. Birth control pills or hormones that might reduce estrogen levels in the vagina (which may lead to less normal bacteria as they like estrogen)
4. Douches or ANY over the counter feminine products

I am not recommending that you stop birth control if you are on it, but you could:

1. Not wear tight fitting clothes - wear cotton
2. Eat yogurt daily - contains lactobacilli which is vaginal bacteria
3. Consider a probiotic such as acidophilus or florajen

Does this help?
Dr. Tim
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Timothy Raichle

OBGYN

Practicing since :1999

Answered : 1687 Questions

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What Causes Vaginal Bleeding After Intercourse?

Brief Answer: This sounds like a yeast infection Detailed Answer: Thank you for the question and I am happy to help. When you first went to the bathroom about two hours after intercourse, the brownish discharge was likely just related to a very small amount of bleeding from intercourse. This is very common and comes from the cervix. When the bleeding is very minimal, it often makes its way out as a discharge just like you are describing. The most common vaginal infections are either yeast infections or something called BV, or bacterial vaginosis. BV is a discharge that is irritating and associated with an odor. This odor is often worse after intercourse when the infectious discharge combines with semen. This does not sound like BV. Yeast classically is associated with a whitish discharge with itching and no odor. The discharge can be very variable, so I would not get distracted by the fact that it does not fit with what you have read online. I think that your discharge is confused by recent intercourse and an impending menstrual cycle. But given the itching and discomfort with intercourse, this is the absolute most likely explanation. Here is what I would tell a patient in your situation: 1. The most ideal treatment would be oral diflucan (150mg now and repeated in three days). You would need a prescription for this 2. The other option is an over the counter yeast cream, such as monistat. I would do a more prolonged course, such as 5 days 3. Do not worry about this being a chronic problem. It is common and easy to treat and may not occur again for a while. Does this help? Dr. Tim