Vaginal and Rectal Issues During Pregnancy - Obstetrics and Gynecology

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Vaginal issues, pregnancy, and anal problems?


The menstrual period was from November 25 to November 30.
On November 30, my boyfriend inserted his finger a little and also rubbed with his glans, with part of the glans going in slightly.
On December 3, there was brown discharge from the vagina, which continued until December 5.
There was a little bit of blood from the anus, and the vagina still had brown discharge.
From November 30 to December 4, I engaged in finger masturbation.
What could be the reason for this?

Xie Mei A, 20~29 year old female. Ask Date: 2022/12/05

Dr. Lin Lixuan reply Obstetrics and Gynecology


The situation you described may be due to bleeding from damage to the perineal/anal mucosa caused by sexual activity, or other conditions such as ovulation bleeding.
It is recommended to visit a nearby obstetrics and gynecology clinic for a pelvic examination and ultrasound evaluation and treatment.

Reply Date: 2022/12/05

More Info


During pregnancy, women may experience various vaginal and rectal issues, which can be concerning and confusing. The symptoms you describe, such as brown discharge and rectal bleeding, can arise from several factors, and it’s essential to understand the potential causes and when to seek medical attention.

Firstly, brown discharge during early pregnancy is often attributed to implantation bleeding, which occurs when the fertilized egg attaches to the uterine lining. This can happen around the time your period is expected, leading to confusion. However, if the discharge persists or is accompanied by other symptoms, it may indicate a more serious issue, such as a threatened miscarriage or an ectopic pregnancy. It’s crucial to monitor the discharge and consult a healthcare provider if it continues or worsens.

Regarding the rectal bleeding, this can be caused by several factors, including hemorrhoids, which are common during pregnancy due to increased pressure on the pelvic blood vessels. The hormonal changes during pregnancy can also lead to constipation, which may result in straining during bowel movements and subsequent bleeding. If the bleeding is minimal and not accompanied by pain, it may not be a cause for alarm, but it should still be evaluated by a healthcare professional to rule out any serious conditions.

The activities you mentioned, such as manual stimulation and slight penetration, can also lead to irritation of the vaginal or rectal tissues, especially if there is any underlying inflammation or infection. It’s essential to ensure that any sexual activity is gentle and that proper hygiene is maintained to prevent infections, which can exacerbate discharge or bleeding.

In summary, while some vaginal and rectal issues during pregnancy can be normal, persistent or severe symptoms warrant medical evaluation. It’s always best to err on the side of caution and discuss any concerns with your healthcare provider, who can perform the necessary examinations and tests to ensure both your health and the health of your baby. Regular prenatal check-ups are vital for monitoring any changes and addressing potential issues early on.

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