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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Prolonged Vaginal Bleeding After Having Intercourse?

Hi doctor.I tried having my first intercourse couple of days back. His probably could put inside me only a tenth of his length and then we stopped. Later, I found blood on the sheets. The bleeding continued for four days. The blood was fresher than the kind of blood I see during my periods. I was about 10 days ahead of my period when this happened. I am 27 and have PCOS. Is this normal? Thanks, M
Mon, 4 Apr 2016
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General & Family Physician,  's  Response
Hello dear
Understand your concern.
Following are the cause of your problem.
Vaginal pain and bleeding after intercourse is most common complaints among girls.
In majority case it is not serious and will go on its own.
But it is serious in your case.

Following are the causes of pain and bleeding after intercourse.
I think Hymen rupture is the most common cause in your case.
Other cause are
1. Trauma to vaginal wall (If penetration without lubrication)/hymen rupture
2. Atrophic vaginitis due to lower estrogen levels
3. Infections in the vagina
4. Bleeding from cervix (As it contain superficial blood vessels)
5. Endometriosis
6. Pre cancerous condition of cevix/vagina
7. Fibroid/adenomyosis
8. PCOS

Take following advice
1. It will goes its own with in 4-5 days
2. Tablet meftal spas two times a day till pain is there.
3. Use lubricants while sex.
4. You can apply pressor if bleeding is visible
5. Sleep in head rise position
6. Apply cold pack over pelvic/Vaginal area.
7. If bleeding not stop, you can take vitamin K injections

Do sex in relaxation.
You should let go penis inside very slowly with lots of lubrication, once you feel pain, wait for sometime and then proceeds.
It will decrease after 4-5 sexual intercourse as resistance is decreased.

Your partner should be gentle, and get you in the mood in order to increase natural lubrication.
Do not keep the intercourse for a long time, since that will not only rub off the lubricants, it will also cause friction to the surrounding tissue.
While regular intercourse will reduce the incidence of bleeding, avoid frequent intercourse (more than once) in a single day.
Maintain hygiene in pelvic area.
Wash pelvic area with warm salted water to reduce infection and inflammation.
But if you constantly have bleeding from the vagina, or after every intercourse, it is better to consult a doctor as it could be symptoms of something more serious

Do the following tests:
1. USG
2. Hormonal profile
3. Endometrium biopsy
4. Follicle study
5. Blood: CBC, ESR, BT, CT, APTT

Hope this may help you.

Wish you good health.
Best regards
Dr. Sagar
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What Causes Prolonged Vaginal Bleeding After Having Intercourse?

Hello dear Understand your concern. Following are the cause of your problem. Vaginal pain and bleeding after intercourse is most common complaints among girls. In majority case it is not serious and will go on its own. But it is serious in your case. Following are the causes of pain and bleeding after intercourse. I think Hymen rupture is the most common cause in your case. Other cause are 1. Trauma to vaginal wall (If penetration without lubrication)/hymen rupture 2. Atrophic vaginitis due to lower estrogen levels 3. Infections in the vagina 4. Bleeding from cervix (As it contain superficial blood vessels) 5. Endometriosis 6. Pre cancerous condition of cevix/vagina 7. Fibroid/adenomyosis 8. PCOS Take following advice 1. It will goes its own with in 4-5 days 2. Tablet meftal spas two times a day till pain is there. 3. Use lubricants while sex. 4. You can apply pressor if bleeding is visible 5. Sleep in head rise position 6. Apply cold pack over pelvic/Vaginal area. 7. If bleeding not stop, you can take vitamin K injections Do sex in relaxation. You should let go penis inside very slowly with lots of lubrication, once you feel pain, wait for sometime and then proceeds. It will decrease after 4-5 sexual intercourse as resistance is decreased. Your partner should be gentle, and get you in the mood in order to increase natural lubrication. Do not keep the intercourse for a long time, since that will not only rub off the lubricants, it will also cause friction to the surrounding tissue. While regular intercourse will reduce the incidence of bleeding, avoid frequent intercourse (more than once) in a single day. Maintain hygiene in pelvic area. Wash pelvic area with warm salted water to reduce infection and inflammation. But if you constantly have bleeding from the vagina, or after every intercourse, it is better to consult a doctor as it could be symptoms of something more serious Do the following tests: 1. USG 2. Hormonal profile 3. Endometrium biopsy 4. Follicle study 5. Blood: CBC, ESR, BT, CT, APTT Hope this may help you. Wish you good health. Best regards Dr. Sagar