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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Vaginal Bleeding After Having Unsafe Sex?

I had intercourse yesterday morning and did not use any type of protection (no condom, no birth control). I was going to buy the Mormon after pill today but I woke up and was bleeding. I don t want to waste the 50 dollars on the pill but I don t know if this is my period or if I m just bleeding from having intercourse. My periods have been irregular and messed up for a couple months now so I never actually know when my period is supposed to start. Please help!
Tue, 12 Jul 2016
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General & Family Physician,  's  Response
Hi,
Thanks for posting in HCM.
I have read your description and understand your concern.
Bleeding what you had following intercourse could be due to presence of uterine/cervical polyp or inflammation of cervix called 'cervicitis'. Also, it could be occurrence of your period, since you state that it is irregular, caused due to hormonal irregularities.
However, it is advisable for you to take emergency contraceptive pill within 72 hours of this unprotected intercourse episode as you are not sure about why the bleeding is due to. Following this, you need to get breakthrough bleeding within 3 weeks from the intake of the pills. Avoid sexual intercourse until the bleeding takes place following pill intake.
Following this, you need to do the following to rule out other causes which could have contributed to bleeding.
1. Per speculum examination and clinical evaluation by consulting Gynecologist.
2. Ultrasound scan of abdomen and pelvis to know if there are any lesions present in uterus and cervix.
3. Blood levels of FSH and LH levels to know the hormone status.
Accordingly, you can consult Gynecologist with the reports for appropriate management.
Hope the information provided would be helpful.
All the best.
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What Causes Vaginal Bleeding After Having Unsafe Sex?

Hi, Thanks for posting in HCM. I have read your description and understand your concern. Bleeding what you had following intercourse could be due to presence of uterine/cervical polyp or inflammation of cervix called cervicitis . Also, it could be occurrence of your period, since you state that it is irregular, caused due to hormonal irregularities. However, it is advisable for you to take emergency contraceptive pill within 72 hours of this unprotected intercourse episode as you are not sure about why the bleeding is due to. Following this, you need to get breakthrough bleeding within 3 weeks from the intake of the pills. Avoid sexual intercourse until the bleeding takes place following pill intake. Following this, you need to do the following to rule out other causes which could have contributed to bleeding. 1. Per speculum examination and clinical evaluation by consulting Gynecologist. 2. Ultrasound scan of abdomen and pelvis to know if there are any lesions present in uterus and cervix. 3. Blood levels of FSH and LH levels to know the hormone status. Accordingly, you can consult Gynecologist with the reports for appropriate management. Hope the information provided would be helpful. All the best.