Dr. Hanif warmly Welcomes you! Thanks for consulting at my virtual clinic. I have carefully worked through your case, and I can realize your health worries. Being your physician, I assure you not to worry as I will take care all of your medical concerns.   You need to consult a Gynaecologist for this unusual breakthrough bleed. It may be due to emotional and hormonal imbalance too. But doesn t seem to be an STD. It may also be a traumatic bleed. You should consult your gynaecologist for reinforcement of the above discussion and complete physical examination and assessment. Hope I answered all of your health concerns . If you have further questions, feel free to contact me anytime. If satisfied, please give a five Star rating and don t forget to Close the discussion. Have a wonderful time ahead.   Best Regards! DR. MUHAMMAD M. HANIF USA