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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Serious To Have Bleeding After Every Intercourse? Undergone Partial Hysterectomy Earlier

I recently began having sex with a younger man (he is 45 and i am 56). I haven't been sexually active for almost 2 years. At the age of 30 I had a partial hysterectomy, leaving my ovaries. Each time we have intercourse, I start bleeding during the act. I hope this is not serious. Can you help?
Wed, 26 Feb 2014
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OBGYN,  's  Response
Hello
Thanks for writing to us with your health concern.
Yes, the answer is that bleeding after or during intercourse is NOT normal.
It definitely should be investigated.
The commonest reason for women who have had a hysterectomy is - atrophic vaginitis.
This is dryness and friability of the local vaginal mucosa, thus making it more prone to injury, abrasion and infection.
This can lead to friction during intercourse, thus causing spotting.
It is easily treated with local estrogen creams.
Use lubricants during sex.
ALso, another reason could be a growth / lesion or erosion of the leftover cervical stump.
A polyp from the cervix could cause this.
The symptom of post coital bleeding mandates a thorough internal evaluation.
It should not be neglected,
PLease consult a gynecologist and have a per vaginum and per speculum checkup, as well as a Pap smear.
A pelvic ultrasound scan should also be done.
All the best
Take care.
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Is It Serious To Have Bleeding After Every Intercourse? Undergone Partial Hysterectomy Earlier

Hello Thanks for writing to us with your health concern. Yes, the answer is that bleeding after or during intercourse is NOT normal. It definitely should be investigated. The commonest reason for women who have had a hysterectomy is - atrophic vaginitis. This is dryness and friability of the local vaginal mucosa, thus making it more prone to injury, abrasion and infection. This can lead to friction during intercourse, thus causing spotting. It is easily treated with local estrogen creams. Use lubricants during sex. ALso, another reason could be a growth / lesion or erosion of the leftover cervical stump. A polyp from the cervix could cause this. The symptom of post coital bleeding mandates a thorough internal evaluation. It should not be neglected, PLease consult a gynecologist and have a per vaginum and per speculum checkup, as well as a Pap smear. A pelvic ultrasound scan should also be done. All the best Take care.