Post-Sexual Abdominal Pain and Vaginal Bleeding: What to Know

Q: Post-Sexual Abdominal Pain and Vaginal Bleeding: What to Know

Dear netizen： Hello! Without a description of the menstrual cycle dates, it is difficult to determine whether the symptoms may be related to ovulation discomfort. <br>Of course, nails could potentially cause injury to the vaginal mucosa, leading to bleeding. <br>Given the ongoing

Abdominal pain and vaginal bleeding after intercourse?

On August 7, 2004, my boyfriend inserted his finger inside me, and when he penetrated, he pulled out shortly after, causing me severe abdominal pain.
He then withdrew, and I continued to feel pain, followed by some bleeding.
I took painkillers, which helped a bit, but I still felt something unusual in my abdomen.
Could this be related to ovulation? I also experienced breast tenderness.
Should I see a gynecologist? Or could it be that his fingernails caused me to bleed? Why would it hurt so much? Please help me understand.
Thank you.
August 10, 2004.

Ke lian chong, 10~19 year old female. Ask Date: 2004/08/10

Dr. Chen Changfu reply Obstetrics and Gynecology

Dear netizen: Hello! Without a description of the menstrual cycle dates, it is difficult to determine whether the symptoms may be related to ovulation discomfort.
Of course, nails could potentially cause injury to the vaginal mucosa, leading to bleeding.
Given the ongoing abdominal discomfort, it is advisable to consult a gynecologist.

Reply Date: 2004/08/10

More Info

Experiencing abdominal pain and vaginal bleeding after sexual activity can be concerning and may indicate several underlying issues. Based on the symptoms you've described, it is essential to consider various factors that could contribute to your discomfort.

Firstly, the pain you felt during and after sexual activity could be attributed to several causes. One possibility is that the vigorous nature of the sexual activity may have caused trauma to the vaginal or cervical tissues, leading to bleeding. This is especially true if there was insufficient lubrication or if there was any vigorous thrusting that might have caused irritation or micro-tears in the vaginal lining. Additionally, if your partner's fingernails were long or sharp, they could have inadvertently caused injury during penetration, leading to bleeding and pain.

Another potential cause of your symptoms could be related to ovulation. Some women experience mittelschmerz, which is a type of ovulation pain that can occur mid-cycle when an egg is released from the ovary. This pain can sometimes be sharp and may be accompanied by other symptoms, such as breast tenderness, which you mentioned. However, this type of pain typically does not cause bleeding.

Infections are another critical consideration. Conditions such as pelvic inflammatory disease (PID), sexually transmitted infections (STIs), or vaginal infections can cause abdominal pain and abnormal bleeding. If you have any unusual discharge, itching, or burning sensations, these could be signs of an infection that requires medical attention.

Given that you experienced significant pain and bleeding, it is advisable to seek medical attention from a gynecologist. They can perform a thorough examination, including a pelvic exam, and may recommend tests such as a Pap smear, ultrasound, or cultures to rule out infections or other conditions. It is crucial to address these symptoms promptly, as untreated infections can lead to more severe complications.

In the meantime, if the pain persists or worsens, or if you experience additional symptoms such as fever, chills, or severe dizziness, you should seek immediate medical care. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help alleviate some discomfort, but they do not address the underlying cause of your symptoms.

In summary, while some discomfort and minor bleeding can occur after sexual activity, especially if it is vigorous, significant pain and bleeding warrant further investigation. It is essential to consult with a healthcare provider to ensure that any potential issues are identified and treated appropriately. Your health and well-being are paramount, and seeking professional guidance is the best course of action.

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