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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Cramps And Vaginal Bleeding Post Intercourse?

my periods are very irregular. I can t keep track but everytime I have sexy my period starts shortly after. I recently had sex and the day after I had cramps and then I had sex again and the day after that I had light red blood, and cramps and then my period started and it was unusually heavy . What is going on and could I be pregnant .
Tue, 29 Mar 2016
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General & Family Physician 's  Response
Hello dear
Understand your concern.
In the presence of bleeding, pregnancy is unlikely.
Bleeding after post unprotected sex is pretty common problem in girls.
It is normal if not associated with foul smell, itching and abdominal cramp.
Following are the causes of your problem-

1. VAGINAL WALL TRAUMA: it contain atrophied endothelial lining of vagina.
so little blood due to trauma mix with cervical mucus form it pinkish colour
It indicate disturbance in blood vessels integrity
Sexual intercourse precipitate microfissure and frets in vessels lead to bleeding.
It can be prevented by using lubrication during intercourse.
But if it is associated with pain indicate urethral dysfunction
2.Precancerous condition in cervix: Atrophied cervix get easily damage due to trauma and produce pinkish blood due to mixed with cervical mucus
3. Endo metrial dysplasia
4. Cervical polyp

So it might be a trauma to vaginal wall without pain and foul smelling.
But if it will not respond you should consult with gynecologist to exclude precancerous condition and infection(STD: bacterial vaginosis an chlymadia)

Do the following test:
1. PAP smear
2. Gram stain and Culture from discharge
4. PCR and nucleic acid amplification test

You should maintain hygiene and keep vaginal area dry.
wash by using warm water with added salt.
Wear loose cotton underwear.

Hope this may help you
Wish you good health
Best regards
Dr. Sagar
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What Causes Abdominal Cramps And Vaginal Bleeding Post Intercourse?

Hello dear Understand your concern. In the presence of bleeding, pregnancy is unlikely. Bleeding after post unprotected sex is pretty common problem in girls. It is normal if not associated with foul smell, itching and abdominal cramp. Following are the causes of your problem- 1. VAGINAL WALL TRAUMA: it contain atrophied endothelial lining of vagina. so little blood due to trauma mix with cervical mucus form it pinkish colour It indicate disturbance in blood vessels integrity Sexual intercourse precipitate microfissure and frets in vessels lead to bleeding. It can be prevented by using lubrication during intercourse. But if it is associated with pain indicate urethral dysfunction 2.Precancerous condition in cervix: Atrophied cervix get easily damage due to trauma and produce pinkish blood due to mixed with cervical mucus 3. Endo metrial dysplasia 4. Cervical polyp So it might be a trauma to vaginal wall without pain and foul smelling. But if it will not respond you should consult with gynecologist to exclude precancerous condition and infection(STD: bacterial vaginosis an chlymadia) Do the following test: 1. PAP smear 2. Gram stain and Culture from discharge 4. PCR and nucleic acid amplification test You should maintain hygiene and keep vaginal area dry. wash by using warm water with added salt. Wear loose cotton underwear. Hope this may help you Wish you good health Best regards Dr. Sagar