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Is Bleeding With Clots After Intercourse Normal?
Hi, ma sister is 40 years and she had her fibroids removed last year december, her period was always regular, this month's period came earliar and it lasted 8 days and her normal period only lasts 3-4days, so now after making love with her boyfriend she saw big blood clots and some orange blood. Should she be worried
posted on
Thu, 13 Mar 2014
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Mon, 6 Jun 2016
Answered on
Tue, 7 Jun 2016
Last reviewed on
Hallow Dear,
Your sister had undergone surgery for fibroids removal. Was her uterine lining (endometrium) evaluated before removing the fibroids? Fibroid is a condition due to high Oestrogen levels. This leads to overgrowth of the endometrium, some times even the cancer also. At the age of 40 years, endometrial evaluation is mandatory when fibroids exist.
The blood clot she has passed could be due to bleeding from the endometrium. Please get her ultrasonography done. If it shows thick endometrium, she should undergo endometrial evaluation by hysteroscopy and microscopic study. Ultrasonography will also reveal if any more small fibroids are present in the uterus.
The other probability is infection. However, she is not having fever. So this probability seems remote.
Please report to her Gynaecologist ASAP.
I hope this helps you.
Dr. Nishikant Shrotri
Your sister had undergone surgery for fibroids removal. Was her uterine lining (endometrium) evaluated before removing the fibroids? Fibroid is a condition due to high Oestrogen levels. This leads to overgrowth of the endometrium, some times even the cancer also. At the age of 40 years, endometrial evaluation is mandatory when fibroids exist.
The blood clot she has passed could be due to bleeding from the endometrium. Please get her ultrasonography done. If it shows thick endometrium, she should undergo endometrial evaluation by hysteroscopy and microscopic study. Ultrasonography will also reveal if any more small fibroids are present in the uterus.
The other probability is infection. However, she is not having fever. So this probability seems remote.
Please report to her Gynaecologist ASAP.
I hope this helps you.
Dr. Nishikant Shrotri
I find this answer helpful
Hi there,
Welcome to HCM,
Heavy and prolonged bleeding during period sand bleeding after intercourse in a women after 40 years needs further evaluation. It could be recurrence of fibroids, or excess thickening of the lining of the womb, or some problem with the neck of the womb(cervix).
She should have an internal examination by a Gynaecologist to check for any lesion on the cervix, and an ultrasound to see for the presence of fibroids and the lining of the womb.
Further treatment can be planned depending on the examination and ultrasound.
Hope this helps.
Regards.
Welcome to HCM,
Heavy and prolonged bleeding during period sand bleeding after intercourse in a women after 40 years needs further evaluation. It could be recurrence of fibroids, or excess thickening of the lining of the womb, or some problem with the neck of the womb(cervix).
She should have an internal examination by a Gynaecologist to check for any lesion on the cervix, and an ultrasound to see for the presence of fibroids and the lining of the womb.
Further treatment can be planned depending on the examination and ultrasound.
Hope this helps.
Regards.
I find this answer helpful
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