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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes pain during intercourse and spotting after intercourse?

Hello, I am a 24 year old female. 5'7" at 215 lbs. My husband and I have been together for 5 years and we just recently got married. About 4 years ago, I had a miscarriage at 5 weeks and my husband was so devastated that he wanted to refrain from sexual intercourse. Last year, I lost 40 lbs over the course of the whole year, and we had just started having sexual intercourse again two weeks ago. A couple of days after having intercourse I started spotting and it got up to a medium flow for two days before stopping. The intercourse was not painful after having been so long, and I would think the bleeding would have been heavier. My period (if it was my period) was 4 days early and lasted only 3 total days with mostly spotting. My cycle's are always 28 days with 4 days of heavy flow and have been for 8 years. Four days ago we had intercourse again, but it was very painful when he was entering and we stopped just a couple of minutes later. For the next two days after that, it would hurt when I wiped but not when I was urinating or anything. My question is why was it so painful the second time and could it possibly be something serious? And wouldn't bleeding be heavy after abstaining for so long combined with the (possible) period. If it wasn't a period then it is 38 days into my cycle without a period.
Sat, 21 Sep 2019
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General Surgeon 's  Response
Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.
There are many reasons why a woman may bleed after sex. The medical name for this is "postcoital bleeding". Most common are an infection, such as pelvic inflammatory disease (PID), or a sexually transmitted infection (STI), such as chlamydia then vaginal dryness (atrophic vaginitis) caused by reduced vaginal secretions after the menopause, damage to the vagina, such as tears caused by childbirth, or by dryness or friction during sex or cervical or endometrial polyps (benign or non-cancerous growths in the womb or the lining of the cervix). If the problem is caused by vaginal dryness, they may recommend that you try using lubricating gels. For other treatments it would be necessary to see gynecologist and estanlish the right cause first.

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Kindly regards. Wish you a good health.
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What causes pain during intercourse and spotting after intercourse?

Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can. There are many reasons why a woman may bleed after sex. The medical name for this is postcoital bleeding . Most common are an infection, such as pelvic inflammatory disease (PID), or a sexually transmitted infection (STI), such as chlamydia then vaginal dryness (atrophic vaginitis) caused by reduced vaginal secretions after the menopause, damage to the vagina, such as tears caused by childbirth, or by dryness or friction during sex or cervical or endometrial polyps (benign or non-cancerous growths in the womb or the lining of the cervix). If the problem is caused by vaginal dryness, they may recommend that you try using lubricating gels. For other treatments it would be necessary to see gynecologist and estanlish the right cause first. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.