Increased bleeding during sexual intercourse towards the end of the menstrual period?
Doctor, I would like to ask about my situation.
I started using regular birth control pills on the first day of my period, and now it has been eight days since my period began.
I am experiencing a small amount of bleeding, and during intercourse, I feel some pain deeper in the vagina, along with increased bleeding.
Is this normal?
momo, 20~29 year old female. Ask Date: 2016/08/16
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) During sexual intercourse, uterine contractions may occur, and if there is already blood accumulation in the uterine cavity, it will be expelled.
This is why you may experience increased bleeding during intercourse.
(2) Prolonged menstrual periods may be due to poor uterine contractions, possible coagulation issues, or insufficient estrogen and progesterone levels.
Since you are currently taking birth control pills, they should help regulate your menstrual cycle, and you can expect improvement in your next period.
Thank you for your message!
Reply Date: 2016/08/16
More Info
When starting a new birth control method, particularly hormonal contraceptives like the combined oral contraceptive pill, it is not uncommon to experience changes in your menstrual cycle. This can include increased bleeding, spotting, or even changes in the duration and intensity of your periods.
In your case, since you mentioned that you started taking the pill on the first day of your period and are now on the eighth day with ongoing light bleeding, this could be attributed to a few factors. Initially, your body is adjusting to the new hormones introduced by the birth control pill. This adjustment period can lead to irregular bleeding patterns, which is often referred to as "breakthrough bleeding." It is especially common during the first few months of starting the pill as your body acclimates to the hormonal changes.
Regarding the pain you experience during deeper penetration, this could be due to several reasons. One possibility is that the hormonal changes from the birth control pill can affect the vaginal lining and lubrication, potentially leading to discomfort during intercourse. Additionally, if there is any underlying condition such as vaginitis or cervicitis, it could also contribute to pain and increased bleeding during sexual activity.
If the bleeding is light and not accompanied by severe pain, it may not be a cause for concern. However, if you notice heavy bleeding, significant pain, or if the bleeding persists beyond the initial adjustment period (usually a few months), it would be advisable to consult with your healthcare provider. They can assess whether the bleeding is a normal side effect of the pill or if there might be another underlying issue that needs to be addressed.
It's also worth noting that while hormonal contraceptives are effective in preventing pregnancy, they can have side effects that vary from person to person. Some women may experience lighter periods, while others may have heavier or more prolonged bleeding. If you find that the side effects are bothersome or if your bleeding patterns do not stabilize after a few cycles, discussing alternative contraceptive methods with your healthcare provider may be beneficial.
In summary, experiencing increased bleeding during your period after starting birth control can be normal as your body adjusts to the hormones. However, if the bleeding is excessive or accompanied by significant pain, it is important to seek medical advice to rule out any other potential issues. Regular follow-ups with your healthcare provider can help ensure that your birth control method is working effectively for you and that any side effects are managed appropriately.
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