Post-Sexual Bleeding: When to See a Gynecologist?

Experiencing bleeding after each sexual intercourse?

Good evening, I would like to ask about some embarrassing issues related to my health.

1) I always experience bleeding after sexual intercourse, even though the process is not vigorous and there is no foreplay.
Should I see a gynecologist for an examination? I also experience slight pain in that area, which is often inflamed.
My Pap smear results have always been abnormal, and I have had these issues both before and after childbirth.
I just gave birth in November last year.
2) A couple of days ago, I performed oral sex, and when I attempted to insert, I found it to be dry.
After performing oral sex again, I started to feel discomfort in my throat.
If there is inflammation in that area, could I have transmitted a fungal infection or something similar to my throat? Currently, I am taking medication for a cold, but my throat feels sore, and it coincidentally started feeling uncomfortable right after the oral sex.

Xiao Feng, 30~39 year old female. Ask Date: 2017/07/05

Dr. Huang Jianzhong reply Obstetrics and Gynecology

1) Experiencing post-coital bleeding consistently, regardless of whether it is pre- or post-delivery (I just gave birth last November).
The intercourse was not vigorous and there was no foreplay.
Should I see a gynecologist? I feel a slight pain in that area and it is often inflamed.
My Pap smears have consistently shown abnormal results.
Answer: There are many causes of post-coital bleeding, but the most concerning is cervical dysplasia.
The consistent abnormal Pap results are worrisome, and you should see a gynecologist for a colposcopy.
2) After performing oral sex, I started to feel discomfort in my throat.
A couple of days ago, I performed oral sex and noticed dryness upon insertion.
If there is inflammation in that area, could I potentially infect my throat with something like a fungus? Answer: Traditionally, genital fungi are not easily transmitted to the throat, but there have been cases of warts on the tongue.
If you are currently taking medication for a cold, you may experience a sore throat.
It would be advisable to pause oral sex for now.

Reply Date: 2017/07/05

More Info

When it comes to post-sexual bleeding, it is essential to understand the underlying causes and when it is necessary to consult a gynecologist. Based on your description, there are several factors to consider regarding your symptoms and history.

1. Frequent Post-Sexual Bleeding: If you consistently experience bleeding after sexual intercourse, even if the act itself is not vigorous, it is advisable to seek a gynecological evaluation. Persistent post-coital bleeding can indicate various conditions, including cervical or vaginal injuries, infections, or even more serious issues such as polyps or cervical dysplasia. Given that you have mentioned a history of abnormal Pap smears, this further emphasizes the need for a thorough examination. Abnormal Pap results can indicate underlying issues that may require monitoring or treatment.

2. Pain and Inflammation: The slight pain you experience during intercourse and the recurrent inflammation suggest that there may be an underlying condition that needs to be addressed. Conditions such as vaginitis, cervicitis, or pelvic inflammatory disease (PID) can lead to discomfort and bleeding. These conditions can be caused by infections, hormonal imbalances, or even physical trauma. A gynecologist can perform a pelvic exam and possibly order tests to determine the cause of your symptoms.

3. Oral Sex and Throat Discomfort: Regarding your concern about oral sex and the potential for transferring infections to your throat, it is possible to transmit certain infections through oral sex. If your partner has a sexually transmitted infection (STI), it can lead to throat infections, which may present as soreness or discomfort. If you are experiencing persistent throat pain, especially after engaging in oral sex, it is wise to consult a healthcare provider. They may recommend a throat swab to check for infections and provide appropriate treatment.

4. When to Seek Help: You should see a gynecologist if:
- You experience bleeding after intercourse consistently.

- The bleeding is accompanied by pain or discomfort.

- You have abnormal discharge or signs of infection (such as unusual odor, color, or consistency).

- You have a history of abnormal Pap smears and have not followed up with your healthcare provider.

- You experience throat discomfort that persists or worsens.

In summary, while some bleeding after sexual intercourse can be normal, especially if it is your first time or if there is insufficient lubrication, persistent or recurrent bleeding warrants further investigation. It is crucial to communicate openly with your healthcare provider about your sexual history and any symptoms you are experiencing. This will help them provide the most accurate diagnosis and appropriate treatment. Regular gynecological check-ups are essential for maintaining reproductive health, especially after childbirth or if you have a history of gynecological issues.

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