What Causes Vaginal Bleeding And Painful Intercourse?

Posted on Mon, 2 Jun 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 2 Jun 2014 Answered on

Sat, 28 Jun 2014 Last reviewed on

Question : I have had a vaginal discharge and the swab came back and I am being treated with Amoxycillin. I am now having bleeding and pain on intercourse with my partner. Is something else causing this reaction?

Answered by Dr. Aarti Abraham (19 minutes later)

Brief Answer:
AS BELOW

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
It could be the infection itself that is leading to friction and bleeding / pain during sex.
It is best to abstain till you complete the course.
If , after finishing the antibiotics, you still have these symptoms, please consult your gynecologist.
At 56, I assume you are menopausal.
Due to local estrogen deficiency, the vaginal tissues become thinned out and atrophic, this is called atrophic vaginitis.
The mucosa becomes delicate, friable, breaks easily , leading to spotting and pain.
A thorough internal exam - per vaginum and per speculum should be done to diagnose this.
A pelvic transvaginal scan will rule out any polyps / fibroids / other causes.
Use enough lubrication during sex.
All the best.
Please feel free to discuss further.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj