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Forum Name: Gynecology

Question: sore sexual intercourse, then bleeding once had endom. help!


 mandy25 - Sun Feb 26, 2006 10:54 am

my name is amanda i am 27 and am married with 3 kids. i suffered from endometriosis 4 years ago and then i managed to fall pregnant and after i had my son it dissapeard.the symptoms i had were abdomen pain usually left hand side, sore sexual intercourse, severe cramps, discharge.
i went and got steralizewd last year after we had our 3rd son who was born with a sevre chromosne disorder.
over the last few weeks i have had sore stomach on and off, terrible cramp, severe sharp pain that takes my breath away in lower left hand side, bleeding after intercourse and slight pain in certain positions.the bleeding after sexual intercourse has only happened this week and is starting to worry me as i don't usually suffer like this.
i am going to get an appointment this week for my gp but wonder can you give me any advice on this matter.
thank you
amandaxx
 Dr. Tamer Fouad - Sun Mar 05, 2006 3:51 am

User avatar Hello,

Bleeding after sexual intercourse is known as postcoital bleeding. Cervical dysplasia and cervical cancer may be associated with postcoital bleeding and is the most significant cause.[1]
 
However, there are many other causes such as chlamydial cervicitis. Other benign causes of bleeding include cervical polyps, which may become apparent as postcoital bleeding. Postcoital bleeding may result from atrophy of the vaginal and vulvar epithelium (atrophic vaginitis). This can happen as a result of menopause but can be seen in premenopausal women.

Even quite minor traumatic lesions may cause severe postcoital bleeding if co-existent coagulation disorder. Ectropion may also present as postcoital bleeding.

Best regards.

References:
==========
1. Rosenthal AN, Panoskaltsis T, Smith T, Soutter WP. The frequency of significant pathology in women attending a general gynaecological service for postcoital bleeding. BJOG 2001;108:103-6.

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