Abnormal Bleeding: Causes and When to Seek Help - Obstetrics and Gynecology

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Abnormal bleeding can be a concerning issue for many women, and understanding its causes is crucial for determining when to seek medical help. Based on your description, it seems you have experienced some irregular bleeding following sexual intercourse, which is not uncommon. However, it is essential to consider various factors that could contribute to this situation.

Firstly, it is important to differentiate between normal menstrual bleeding, ovulation bleeding, and abnormal bleeding. Your menstrual cycle appears to be around 35 days, which is slightly longer than the average cycle of 28 days. This variation can be normal, but it is essential to monitor any changes in your cycle, especially if you have experienced longer periods in the past.

The bleeding you are experiencing after sexual intercourse could be attributed to several factors:
1. Ovulation Bleeding: Although you mentioned that it is not the time for ovulation bleeding based on your records, it is worth noting that some women may experience light spotting during ovulation due to hormonal fluctuations. This type of bleeding is usually light and short-lived.

2. Cervical Irritation: Sexual intercourse can sometimes cause minor trauma to the cervix, leading to light bleeding. This is particularly common if there is any dryness or if the intercourse was somewhat vigorous. If the bleeding is light and resolves quickly, it may not be a cause for concern.

3. Hormonal Imbalances: Fluctuations in hormone levels can lead to irregular bleeding. Stress, changes in weight, or significant lifestyle changes can affect your hormonal balance, potentially leading to unexpected bleeding.

4. Retained Menstrual Blood: If your menstrual flow was particularly heavy or prolonged, it is possible that some blood was retained in the uterus, leading to spotting after your period. However, this is less common and usually accompanied by other symptoms.

5. Infections or Other Medical Conditions: Conditions such as cervical infections, polyps, or fibroids can also cause abnormal bleeding. If the bleeding persists or is accompanied by other symptoms (such as pain, unusual discharge, or fever), it is essential to seek medical attention.

Given that your bleeding has been ongoing for several days and is significant enough to require frequent pad changes, it is advisable to consult with a healthcare provider. A gynecologist can perform a thorough examination, including a pelvic exam and possibly an ultrasound, to rule out any underlying conditions that may require treatment.

In summary, while some causes of abnormal bleeding can be benign, it is crucial to pay attention to your body and seek medical advice if you notice any changes that concern you. Your health and well-being are paramount, and a healthcare professional can provide the necessary guidance and support. If the bleeding continues or worsens, or if you experience any additional symptoms, do not hesitate to reach out to your healthcare provider for further evaluation.