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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Vaginal Bleeding During Intercourse Long After Having D&C?

I am 41 years old and am experiencing bleeding during intercourse or shortly afterwards. Neither me or my partner have any STD s and have been married for 2 1/2 years. I did have a D & C in 10/2014 and the bleeding started about 9 months after the surgery. Pap has been normal, however, haven t had one this year to date.
Tue, 29 Mar 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.


Following are the causes of bleeding after intercourse

1. Trauma to vaginal wall (If penetration without lubrication)
2. Atrophic vaginitis due to lower estrogen levels
3. Infections in the vagina
4. Bleeding from cervix (As it contain superficial blood vessels)
5. D & C complication:Occasionally a D&C can lead to bleeding, an infection, a uterine or bowel puncture or the rare condition known as Asherman syndrome, in which adhesions (bands of scar tissue) form in the uterine cavity. These complications are uncommon, but the possibility does exist that they can occur.

If it will not stop or will occur next time.
Please consult with doctor.
Do your hormonal profile like: estrogen, progesterone, FSH, LH
To exclude cervical cause do PAP smear test.
USG and hysteroscopy.

If you have pain just take tablet meftal spas two times a day till pain is there.
Hope this may help you.

Wish you good health.
Best regards
Dr. Sagar
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What Causes Vaginal Bleeding During Intercourse Long After Having D&C?

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. Following are the causes of bleeding after intercourse 1. Trauma to vaginal wall (If penetration without lubrication) 2. Atrophic vaginitis due to lower estrogen levels 3. Infections in the vagina 4. Bleeding from cervix (As it contain superficial blood vessels) 5. D & C complication:Occasionally a D&C can lead to bleeding, an infection, a uterine or bowel puncture or the rare condition known as Asherman syndrome, in which adhesions (bands of scar tissue) form in the uterine cavity. These complications are uncommon, but the possibility does exist that they can occur. If it will not stop or will occur next time. Please consult with doctor. Do your hormonal profile like: estrogen, progesterone, FSH, LH To exclude cervical cause do PAP smear test. USG and hysteroscopy. If you have pain just take tablet meftal spas two times a day till pain is there. Hope this may help you. Wish you good health. Best regards Dr. Sagar