Abnormal Bleeding and Menstrual Irregularities from Masturbation - Obstetrics and Gynecology

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Bleeding during masturbation, irregular menstruation?


Hello, I have been in the habit of masturbating, but recently I have noticed bleeding during masturbation and irregular menstrual cycles.
A few days ago, I even noticed what appeared to be tissue (though I'm not sure) during masturbation.
Should I see a doctor, or will it resolve on its own?

Vivi, 10~19 year old female. Ask Date: 2020/07/07

Dr. Wu Xianghui reply Obstetrics and Gynecology


It is recommended to visit the outpatient clinic for evaluation.

Reply Date: 2020/07/07

More Info


It’s important to address your concerns regarding abnormal bleeding and menstrual irregularities, especially in the context of masturbation. While masturbation itself is a normal and healthy sexual activity, any unusual symptoms such as bleeding or the presence of tissue-like clots should not be ignored.

First, let's discuss the potential causes of the bleeding you are experiencing during masturbation. There are several factors that could contribute to this issue:
1. Vaginal Irritation or Injury: If there is excessive friction during masturbation, it can lead to irritation or even minor injuries to the vaginal walls. This could cause bleeding, especially if the tissues are sensitive or if there is insufficient lubrication.

2. Hormonal Imbalances: Menstrual irregularities can often be attributed to hormonal fluctuations. Factors such as stress, changes in weight, diet, or exercise can affect hormone levels and lead to irregular periods. If your menstrual cycle has become unpredictable, it could be a sign of an underlying hormonal issue.

3. Uterine or Cervical Conditions: Conditions such as polyps, fibroids, or cervical erosion can cause abnormal bleeding. These conditions may not always present with symptoms other than bleeding, so it’s essential to have them evaluated by a healthcare professional.

4. Infections: Sexually transmitted infections (STIs) or other vaginal infections can lead to bleeding and discomfort. If you have any other symptoms such as unusual discharge, itching, or odor, it’s crucial to seek medical advice.

5. Pregnancy: If there is any possibility of pregnancy, it’s important to consider that implantation bleeding or other pregnancy-related issues could be a factor. A pregnancy test can help clarify this.

Regarding the presence of "meat-like" clots during masturbation, this could be concerning. It’s essential to differentiate between menstrual clots and other types of tissue. If you notice any tissue that is not typical for your menstrual flow, it is advisable to consult a healthcare provider for further evaluation.

Given these considerations, I strongly recommend that you see a healthcare professional. A gynecologist would be the most appropriate specialist to evaluate your symptoms. They can perform a thorough examination, possibly including a pelvic exam and ultrasound, to determine the cause of your bleeding and menstrual irregularities.
In summary, while masturbation is a normal activity, the symptoms you are experiencing warrant medical attention. It’s crucial to prioritize your health and seek professional advice to rule out any serious conditions and to receive appropriate treatment. Remember, it’s always better to be cautious when it comes to your health, and a healthcare provider can offer you the best guidance tailored to your specific situation.

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