Post-Examination Bleeding: What to Expect After a Gynecological Checkup

Pelvic examination issues - bleeding after pelvic examination?

This morning, I went to see a doctor for an internal examination because I was experiencing itching in my private area.
However, I tensed up due to the pain, and the doctor advised me not to tense up.
Afterwards, I applied some ointment, but I'm not sure if I should have done that because I noticed some bleeding, and the doctor didn't inform me about any bleeding.
I looked it up online, and it said that bleeding after an internal examination is usually minimal, but my bleeding seems to be about the same amount as a menstrual period.
The color is bright red, but sometimes it appears less bright and more pinkish.
I also have mild abdominal pain.
Is this normal? Should I observe it for another 1 to 2 days? I had sexual intercourse on December 17 and took emergency contraception on December 18.
I took a pregnancy test around the 24th, which was negative, but I'm still a bit worried about the possibility of being pregnant since my menstrual cycle is irregular.

shan, 20~29 year old female. Ask Date: 2023/01/02

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, if there is still bleeding, you should see a gynecologist for an examination to determine the issue.
Wishing you good health.

Reply Date: 2023/01/02

More Info

Post-examination bleeding, especially after a gynecological checkup, can be a source of concern for many women. It's important to understand what is considered normal and when to seek further medical attention.

After a gynecological examination, it is not uncommon to experience some light bleeding or spotting. This can occur due to several reasons, including the physical examination itself, which may cause minor trauma to the vaginal walls or cervix. The bleeding is typically light and may appear as pink or brown discharge rather than bright red blood. However, if you are experiencing bleeding that resembles a menstrual flow, it is essential to pay attention to the volume and color of the blood, as well as any accompanying symptoms.

In your case, you mentioned experiencing a significant amount of bright red blood, which is more than just spotting, along with mild abdominal pain. While some bleeding can be expected after an internal examination, especially if there was discomfort during the procedure, the amount you described raises a flag. Bright red blood can indicate fresh bleeding, and if it is substantial, it may warrant further investigation.

Additionally, you mentioned having had unprotected sexual intercourse and taking emergency contraception shortly after. It is crucial to consider that hormonal changes from emergency contraception can affect your menstrual cycle, potentially leading to irregular bleeding. However, if you are concerned about the possibility of pregnancy, it is advisable to take a pregnancy test if your next period is delayed or if you continue to have abnormal bleeding.

Here are some recommendations for your situation:
1. Monitor Symptoms: Keep track of the amount and color of the bleeding. If it continues to be heavy or if you experience severe pain, it is essential to seek medical attention promptly.

2. Watch for Other Symptoms: If you develop additional symptoms such as fever, chills, or foul-smelling discharge, these could indicate an infection or other complications that require immediate medical evaluation.

3. Follow-Up: If the bleeding does not subside within a few days or if you have any concerns about your health, it is wise to return to your healthcare provider for further evaluation. They may perform additional tests, such as an ultrasound or blood tests, to rule out any underlying issues.

4. Consider Your Menstrual Cycle: Since you mentioned having irregular periods, it may be helpful to keep a record of your menstrual cycle, including any bleeding after examinations or sexual activity. This information can assist your healthcare provider in understanding your reproductive health better.

5. Discuss with Your Doctor: If you have ongoing concerns about your menstrual cycle, the effects of emergency contraception, or any other gynecological issues, do not hesitate to discuss these with your doctor. They can provide personalized advice and treatment options based on your medical history and current symptoms.

In conclusion, while some bleeding after a gynecological examination can be normal, the amount and characteristics of your bleeding, along with any accompanying symptoms, should guide your decision to seek further medical advice. Always prioritize your health and well-being, and do not hesitate to reach out to your healthcare provider with any concerns.

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