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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Bleeding During Intercourse. Done Colposcopy. Urine Test Showed Blood. What Could It Be?

Hi Doctor, I have been going back and fourth to the doctors due to bleeding during intercourse and had many swabs and other tests done over the last few years. I recently had a colposcopy and have had the bleeding coming back. However for the last month i have been having pain at the end of urination and been going very frequently and sometimes nearly not making it to the toilet. So i went back to the doctors and she did a urine test which found blood. All i was told is that she wanted to see if it was coming from my bladder or maybe some discharge. I was just wondering what it could be? if its linked to my cervix issue or not at all. another thing is im always tired but this has gone on for about 2 years now where i always end up fallen asleep during the day but i dont know wheither this is just due to lack of iron due to my bleeding?
Sat, 2 Feb 2013
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OBGYN,  's  Response
Hi,
Firstly, you did not mention your age and if you are still menstruating. Bleeding during intercourse is most likely due to unhealthy cervix and the fact that colposcopy had caused the bleeding confirms this. You should get a pap smear and a fractional curettage to rule out uterine and cervical issues. You may also need a urethroscopy in addition to a pelvic ultrasound to know the cause of blood in urine. Pain at the end of urination implies some urethral problem. Your tiredness could be due to the anemia. Lastly, I would like to add that in the peri and postmenopausal states the mucosal linings of the vagina and the urethra get thinner and this could lead to traumatic bleeding as occurs during intercourse. Please contact your doctor for further clarifications. Take care.
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Bleeding During Intercourse. Done Colposcopy. Urine Test Showed Blood. What Could It Be?

Hi, Firstly, you did not mention your age and if you are still menstruating. Bleeding during intercourse is most likely due to unhealthy cervix and the fact that colposcopy had caused the bleeding confirms this. You should get a pap smear and a fractional curettage to rule out uterine and cervical issues. You may also need a urethroscopy in addition to a pelvic ultrasound to know the cause of blood in urine. Pain at the end of urination implies some urethral problem. Your tiredness could be due to the anemia. Lastly, I would like to add that in the peri and postmenopausal states the mucosal linings of the vagina and the urethra get thinner and this could lead to traumatic bleeding as occurs during intercourse. Please contact your doctor for further clarifications. Take care.