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Women's Health

Bleeding after intercourse

02/14/2007

Question:

Hello  I am 25 years old. I become sexually active at age 14. I became pregnant at 15 and had an abortion. Following the procedure, I had sex very infrequently. However, in my following relationship, where the intercourse became very regular, I began to bleed every so often preceeding intercourse. It has been approximately 8 years since this first occured and it has only become more frequent. Not only do I bleed during or after intercourse, but also during or after manual stimulation. In the past I have informed doctors about this situation and they have never offered any answers as to why it is happening nor have they offered any solutions on how to correct this problem. It has become a complete inconvenience in my life. I am experiencing bleeding about 90% of the time and the bleeding often continues for a few days after. I have gone for regular pap tests, as well as had ultrasounds and nothing abnormal has surfaced. I am extremely frustrated and need some answers.

Thank you for your time.

Answer:

Bleeding after intercourse can be related to many different problems, such as infection, dysplasia (abnormal Pap smears), trauma (like a scrape or tear), or abnormal growth (such as a polyp). It sounds like you have had exams previously, and hopefully any such problems have been ruled out.

If the problem happens this often, it should be evident when a doctor examines you just where the bleeding is coming from.  Sometimes if there is a particularly friable area (that is, one where the blood vessels are very close to the surface and they bleed easily), that area can be frozen or cauterized with a chemical that will prevent your bleeding.

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Response by:

The Ohio State University Jonathan A. Schaffir, MD
Assistant Professor
Division of General Obstetrics and Gynecology
Department of Obstetrics and Gynecology
College of Medicine
The Ohio State University
Jonathan  A. Schaffir, MD