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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Light bleeding, cramps after unprotected sex. Perimenopausal?

I am 44 years old. Have always had regular 28-day cycle periods. I am 11 days past first day of my period starting which was normal. My husband and I had sex 2 days ago (hadnt had for 4 weeks). I went to the bathroom afterwards and had what looked like old period bllod/discharge. I put a tampon in. Since then, I have been lightly having this bleeding accompanied with mild menstraul cramps , as compared to what I usually get during my period. No change I am pregnant...for sure. I had one abnormal PAP in 2004-2 areas frozen. HPV positive back then also. Normal paps since then. Have not had one since 2009--was told to get one every 2-3 years now, since they were normal. Could this be perimenopausal? Cervical Ca s/s?
Wed, 30 Apr 2014
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OBGYN 's  Response
There are many possible reasons for having bleeding after sex at your age. perimenopause is probably not the issue, since you are a bit young for that, and because you've had normal periods until now. Perimenopause does not present itself with bleeding after sex.

Cervical CA, is also highly unlikely, as you paps were normal since the freezing, and it is very rare. Most likely cause is a polyp on your cervix, or something else which may have irritated your cervix, or it could be a mild infection (not necessarily an std), maybe a fibroid, or other possible causes. With an exam by your doctor, he/she should be able to tell pretty easily what it is and how to treat it. It would be very difficult to tell without an exam.

I hope this helps, please let me know if you have any more questions.
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