Abnormal Bleeding After Masturbation with Ovarian Tumor: What to Do?

A uterine fibroid has developed on the ovary, but there is abnormal bleeding after masturbation!

After being diagnosed with a uterine tumor, I consulted two doctors.
1.
I have a 4 cm tumor on my left ovary, which has been confirmed as benign.
The female doctor recommended monitoring it every three months.
However, I experience abnormal bleeding after masturbation.
Should I go for a follow-up appointment, or should I rest for a few days and observe? 2.
The male doctor prescribed me progesterone, and I have three days left to take it.
He mentioned that my period should start in three days and advised me to get another ultrasound for the uterine fibroid after my period ends.
I really want to ask about the bleeding after masturbation, but I feel a bit embarrassed.
3.
If I masturbate, will it cause the uterine fibroid to grow larger? Please help me with these questions! Thank you!

Ting, 30~39 year old female. Ask Date: 2022/04/16

Dr. Cai Yonglong reply Obstetrics and Gynecology

1.
Tumors of the ovaries or uterus may sometimes cause abnormal bleeding; please follow up with a gynecologist for examination.
2.
There is no direct correlation between masturbation and bleeding or the enlargement of fibroids.

Reply Date: 2022/04/16

More Info

Abnormal bleeding after masturbation, especially in the context of an ovarian tumor, can be concerning and warrants careful consideration. Given your situation, where you have a benign ovarian tumor measuring 4 cm, it is important to address your questions systematically.

1. Abnormal Bleeding After Masturbation: Experiencing abnormal bleeding after masturbation could be attributed to several factors. The presence of a benign ovarian tumor may not directly cause bleeding, but it could be related to other underlying conditions such as hormonal imbalances, endometrial issues, or even physical irritation during the act. It is advisable to monitor the bleeding closely. If the bleeding is persistent, heavy, or accompanied by pain, it is crucial to seek medical attention. Since you have already consulted two doctors, returning for a follow-up may be beneficial, especially if the bleeding continues after your menstrual cycle.
2. Hormonal Treatment: The progesterone (luteal hormone) prescribed to you is typically used to regulate menstrual cycles and can help in managing abnormal bleeding. It is common for doctors to suggest monitoring your menstrual cycle after completing the medication. If you notice that the bleeding persists or worsens after your period, it would be prudent to discuss this with your doctor during your next visit. It is completely acceptable to bring up any concerns regarding abnormal bleeding, including those related to masturbation, as this is a significant aspect of your health.

3. Impact of Masturbation on Uterine Fibroids: Regarding your concern about whether masturbation could cause your uterine fibroids to grow, the evidence suggests that sexual activity, including masturbation, does not influence the size of fibroids. Fibroids are benign tumors that are influenced by hormonal factors, particularly estrogen. While sexual activity can lead to temporary changes in the uterus and surrounding tissues, it does not cause fibroids to increase in size. However, if you experience discomfort or bleeding after masturbation, it may be a sign that you should limit such activities until you have a clearer understanding of your symptoms.

In summary, while benign ovarian tumors are generally not a direct cause of abnormal bleeding, the presence of such a tumor alongside other factors could contribute to your symptoms. It is essential to maintain open communication with your healthcare providers about any changes in your condition, including abnormal bleeding. Regular follow-ups and monitoring are crucial, especially given your history of an ovarian tumor. If you have any concerns about your symptoms or treatment, do not hesitate to reach out to your healthcare provider for guidance. Your health and peace of mind are paramount, and addressing these issues proactively will help ensure your well-being.

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