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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Bleeding During Sex, Burning Clitoris, Burning Urination. Cause?

My boyfriend and I had sex last Tuesday and it was a lot more sex than we usually have in a day. During sex, about 10 minutes in, I began bleeding lightly, but it stopped shortly after. About an hour later we had sex again and the bleeding had stopped, but was replaced with a sort of painful burning around my clitoris. This burning has continued, more so when I urinate. What could've caused the vaginal bleeding and the burning around my clitoris?
Wed, 10 Apr 2013
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General & Family Physician 's  Response
Hello,
thanks for using health care magic.
from your description, it is more likely that you are suffering
from an infection. Bleeding during intercourse is a common
symptom of infection of the cervix though it could as well be
due to trauma, the association with painful urination supports
the fact that an underlying infection is present.
You should visit your doctor for detail examination and for vaginal
swap for microscopy, pH and KOH tests etc in order to give effective
and appropriate treatment.
Best regards and hope this helps you
Dr Achuo
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General & Family Physician Dr. Jay Patel's  Response
Hi,

Based on the information it seems like a "LACERATION/TEAR " in inner area of vagina due to over stretching and tear seems to have reached to urethra.

The bleeding on intercourse at young age is mostly due to traumatic injury / forced sex / repeated sex. Bleeding may stop on its own (depending upon size of tear) once the clot is formed and does not mean its healed completely. To heal completely it need around week of time, mean while their are chances of it getting infected by local flora / bacterias. Proper care need to be taken till it heals again but since you tries to have intercourse again it seems that the tear is expanded to urethra and may be infected as you are having pain/burning in urination.

ADVICE:
consult OB/GYN or any SURGEON (whom you are comfortable with)
1) The area needs to be examined visually.
2) Needs to be checked for infection / tear reaching to urethra.
3) Infection needs to be treated with antibiotics
4) In case of extended tear, it needs to be fix as per surgeon's advice.

Hope I have addressed your question satisfactorily.
Dr. JAY PATEL
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Bleeding During Sex, Burning Clitoris, Burning Urination. Cause?

Hello, thanks for using health care magic. from your description, it is more likely that you are suffering from an infection. Bleeding during intercourse is a common symptom of infection of the cervix though it could as well be due to trauma, the association with painful urination supports the fact that an underlying infection is present. You should visit your doctor for detail examination and for vaginal swap for microscopy, pH and KOH tests etc in order to give effective and appropriate treatment. Best regards and hope this helps you Dr Achuo