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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Burning Sensation While Urinating And Vaginal Bleeding After Intercourse?

I recently became sexually active with my partner.. I had this burning pain after I pee and when I wiped it was pink like a dab of blood. I thought I could have a UTI, so I called a doctor for antibiotics. I have been taking the antibiotics for a couple days now and recently after sexual intercourse I went to the restroom to pee and still got pink blood/ dabs of blood when I wipe. I was concern what this could be..is it not a UTI?
Wed, 4 May 2016
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General & Family Physician,  's  Response
Hello dear
Understand you concern
bleeding wound after intercourse is most common complaints among girls.
In majority case it is not serious and will go on its own.
I think it is due to rough sex along with UTI/Cystitis/Urethritis


Following are the causes of your problems:
1. Trauma to vaginal wall (If penetration without lubrication)
2. Atrophic vaginitis due to lower estrogen levels
3. Infections in the vagina: bacterial vaginosis, candida
4. Bleeding from cervix (As it contain superficial blood vessels)
5. Endometriosis, endometrial/cervix dysplasia

If it will not stop or will occur next time.
Please consult with doctor.
Do your hormonal profile like: estrogen, progesterone, FSH, LH
Pelvic examination
PCR, NAAT, and ELISA for vaginal infections
Cell culture and gram stain of discharge
To exclude cervical cause do PAP smear test.
Endometrial biopsy

Advice:
Drink plenty of fluids
Tablet septran
Use condoms and lubrication during sex
Maintain pelvic hygiene after and before urination.
Wear pure cotton loose inner wear
Empty the bladder after sex
Do not delay in empty the bladder.
Always completely empty the bladder
Hope this may help you.

Wish you good health.
Best regards
Dr. Sagar
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What Causes Burning Sensation While Urinating And Vaginal Bleeding After Intercourse?

Hello dear Understand you concern bleeding wound after intercourse is most common complaints among girls. In majority case it is not serious and will go on its own. I think it is due to rough sex along with UTI/Cystitis/Urethritis Following are the causes of your problems: 1. Trauma to vaginal wall (If penetration without lubrication) 2. Atrophic vaginitis due to lower estrogen levels 3. Infections in the vagina: bacterial vaginosis, candida 4. Bleeding from cervix (As it contain superficial blood vessels) 5. Endometriosis, endometrial/cervix dysplasia If it will not stop or will occur next time. Please consult with doctor. Do your hormonal profile like: estrogen, progesterone, FSH, LH Pelvic examination PCR, NAAT, and ELISA for vaginal infections Cell culture and gram stain of discharge To exclude cervical cause do PAP smear test. Endometrial biopsy Advice: Drink plenty of fluids Tablet septran Use condoms and lubrication during sex Maintain pelvic hygiene after and before urination. Wear pure cotton loose inner wear Empty the bladder after sex Do not delay in empty the bladder. Always completely empty the bladder Hope this may help you. Wish you good health. Best regards Dr. Sagar