Postcoital bleeding, Obstetrics and Gynecology FAQ

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Understanding Abnormal Pap Smear Results and Cervical Health Concerns

Abnormal cervical smear? Due to early initiation of sexual activity (at age 16), there has been recent abnormal bleeding outside of menstruation (brown color, low volume) or postcoital bleeding shortly after menstruation. Therefore, a Pap smear was performed at the clinic, and th...


Dr. Zhang Kunmin Reply:
Hello, the response to your inquiry is as follows: 1. The severity of the two reports is not necessarily comparable. 2. There are still more conservative treatment options available. It is best to wait for the relevant test results to confirm the diagnosis before determining the ...

[Read More] Understanding Abnormal Pap Smear Results and Cervical Health Concerns


Understanding Vaginal Inflammation: Symptoms and Pregnancy Concerns

Vaginitis Hello Doctor, I have experienced bleeding after sexual intercourse twice, and during the pelvic examination, the doctor indicated that it was vaginitis. However, I do not have any noticeable discharge or other symptoms. Could you please confirm if it is possible to have...


Dr. Huang Jianzhong Reply:
I have experienced postcoital bleeding twice and consulted a gynecologist who diagnosed me with vaginitis. However, I do not have any noticeable discharge or other symptoms. Can you help clarify if it is possible to have vaginitis without the presence of discharge? Could this als...

[Read More] Understanding Vaginal Inflammation: Symptoms and Pregnancy Concerns


Understanding Abnormal Bleeding After Intercourse: Causes and When to Get Tested

Abnormal bleeding Hello, doctor. 1. A few days ago, after having sexual intercourse with my boyfriend, I experienced a little bit of bright red bleeding, which was not painful. My last menstrual period started on October 24. I’m wondering if this has any significant impact. Wha...


Dr. Huang Jianzhong Reply:
1. A few days ago, after having sexual intercourse with my boyfriend, I experienced a little bit of bright red bleeding that was not painful. My last menstrual period started on October 24th; I’m not sure if this has any impact. What are the common causes of post-coital bleeding?...

[Read More] Understanding Abnormal Bleeding After Intercourse: Causes and When to Get Tested


Understanding Cervical Changes: From Abnormal Pap Smears to Cancer Concerns

Cervical cancer Hello Doctor, I underwent a cone biopsy for CIN2 last July, and the margins were normal. I have been following up with Pap smears for a year, all of which were normal. However, during my Pap smear in August, the doctor noted a lesion on my cervix that appeared abn...


Dr. Huang Jianzhong Reply:
Last July, I underwent a cone biopsy for CIN2, and the margins were normal. I had normal Pap smear results for a year. However, during the Pap smear in August, the doctor noted a lesion on the cervix that appeared abnormal; the procedure caused some bleeding, but I did not experi...

[Read More] Understanding Cervical Changes: From Abnormal Pap Smears to Cancer Concerns


Understanding Abnormal Vaginal Bleeding After Intercourse: Causes and Insights

Abnormal bleeding Today, I had intercourse with my boyfriend, and during the process, I noticed a light red discharge from my vagina that lasted for a short time and then stopped. What could be the reason for this? Thank you, doctor!


Dr. Lin Manying Reply:
Dear Ms. Liyu, regarding the issue you mentioned, if you have been sexually active for over a year and are experiencing postcoital bleeding, it is advisable to undergo a Pap smear examination. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

[Read More] Understanding Abnormal Vaginal Bleeding After Intercourse: Causes and Insights


Understanding Post-Menstrual Bleeding After Intercourse: Causes and Concerns

Bleeding after sexual intercourse on the first day following menstruation? I would like to ask about a situation I experienced. Two months ago, I had a follicle on the left side of my uterus that later resolved. This month, I experienced abdominal pain again and went for a check-...


Dr. Yang Wangjun Reply:
Hello: The most common cause of postcoital bleeding is microvascular rupture due to cervical erosion. The causes of cervical erosion may include ectropion, infection, or even precancerous lesions. Another potential cause is bleeding due to unstable shedding of the endometrium. Ba...

[Read More] Understanding Post-Menstrual Bleeding After Intercourse: Causes and Concerns


Understanding IUD-Related Menstrual Changes and Discomfort

Menstrual issues Hello, I have had an intrauterine device (IUD) for over 1 year and 8 months. During this time, I occasionally experience pain during intercourse, and initially, I had some spotting after sex. However, for nearly the past month, I have been experiencing irregular ...


Dr. Yang Wangjun Reply:
Hello: The intrauterine device (IUD) has two more serious side effects. One is abnormal uterine bleeding, which includes mid-cycle bleeding, heavy menstrual flow, and postcoital bleeding. The other is infection, which may lead to endometritis, salpingitis, and pelvic inflammatory...

[Read More] Understanding IUD-Related Menstrual Changes and Discomfort


Post-Sexual Activity Bleeding: Causes and Concerns for Women

Postcoital bleeding After sexual intercourse, my boyfriend noticed a small amount of blood on the condom, but the color was very light, similar to the end of a menstrual period. However, there was no bleeding from the vagina, and this only occurs during intercourse. This has not ...


Dr. Yang Wangjun Reply:
Hello: Postcoital bleeding can primarily occur in two areas. (1) Bleeding from microvascular rupture of the cervix and cervical erosion, which can be caused by cervical infections, cervical ectropion, or precancerous lesions of the cervix, all of which can lead to fragile microva...

[Read More] Post-Sexual Activity Bleeding: Causes and Concerns for Women


Understanding Pregnancy Test Results: What Do Faint Lines Mean?

Pregnancy test results Doctor, I apologize for the interruption. My last menstrual period started on January 7, 2016, and prior to that, my cycles were around the beginning of the month, typically varying by about a week. Subsequently, around January 28, 2016, I experienced postc...


Dr. Cao Guotao Reply:
Hello, you may be pregnant. It is recommended to see an obstetrician-gynecologist. Wishing you good health.

[Read More] Understanding Pregnancy Test Results: What Do Faint Lines Mean?


Post-Sexual Activity Bleeding: Causes and Concerns Explained

Bleeding three days after sexual intercourse? Hello Dr. Chang, I had sexual intercourse with my boyfriend (it was quite intense), and three days later I suddenly experienced bleeding. At first, it was like a menstrual period with a gush of bright red blood, but afterwards, it has...


Dr. Zhang Kunmin Reply:
Hello, the causes of postcoital bleeding in women are numerous. It is crucial to rule out conditions such as uterine tumors, endometrial hyperplasia, cervical lesions, and vaginal lesions, among others. If the bleeding persists, it is advisable to consult a physician for further ...

[Read More] Post-Sexual Activity Bleeding: Causes and Concerns Explained


Understanding Light Spotting Before Menstruation: Causes and Concerns

Non-menstrual bleeding If you notice a small amount of blood or spotting before your menstrual period is due, it could be due to several reasons. This could be implantation bleeding, which occurs when a fertilized egg attaches to the lining of the uterus, or it might be related t...


Dr. Yang Wangjun Reply:
Hello: Abnormal vaginal bleeding should first rule out miscarriage due to pregnancy, and then a pelvic examination should be performed to check for vaginal lacerations, cervical polyps, or endometrial polyps causing the bleeding. Cervical erosion can also lead to postcoital bleed...

[Read More] Understanding Light Spotting Before Menstruation: Causes and Concerns


Brown Discharge After Intercourse: Causes and Concerns Explained

Brown discharge the day after intercourse has persisted for two weeks? The menstrual cycle lasts about 6-7 days, with a cycle length of approximately 24-26 days. I had unprotected intercourse on the 10th and 11th, and there was also manual stimulation with ejaculation. On the mor...


Dr. Tian Yiwen Reply:
There are many causes of postcoital bleeding, and further information can be obtained through ultrasound and pelvic examination. It is advisable to consult with a physician who can personally assess the situation to determine the suspected factors or any other potential lesions.

[Read More] Brown Discharge After Intercourse: Causes and Concerns Explained


Understanding Occasional Dark Brown Discharge: Causes and Concerns

Occasionally abnormal discharge color? Hello, doctor. Occasionally, I notice a small amount of dark brown discharge. It's not a lot, just a little bit, and it doesn't happen frequently, only once in a while. I have had sexual intercourse, but I always use protection. I ...


Dr. Yang Wangjun Reply:
Hello: Dark brown discharge is generally the result of a small amount of bleeding that has undergone oxidation. Typically, there may be a small amount of vaginal bleeding, which could be due to ovulatory bleeding, postcoital bleeding, or bleeding from cervical polyps. Since the a...

[Read More] Understanding Occasional Dark Brown Discharge: Causes and Concerns


Trying to Conceive: Understanding Post-Intercourse Bleeding and Solutions

Experiencing slight bleeding after intercourse, especially following ejaculation, can be concerning. It is important to consult a healthcare professional to rule out any underlying issues. If you are trying to conceive, consider tracking your ovulation cycle, maintaining a health...


Dr. Yang Wangjun Reply:
Hello: (1) The likelihood of becoming pregnant is highest around the time of ovulation, so identifying the ovulation day and having intercourse during that time is the best approach. This opportunity should occur several times throughout the year. If one wishes to artificially co...

[Read More] Trying to Conceive: Understanding Post-Intercourse Bleeding and Solutions


Understanding Abnormal Bleeding and Abdominal Discomfort After Intercourse

Uterine prolapse My period ended on the 27th of last month, but after having intercourse yesterday, I used a panty liner and noticed some blood. I thought my period had returned, but by the evening, there was no blood. However, I feel bloated. What could this situation be?


Dr. Yang Wangjun Reply:
Hello: Postcoital bleeding may be due to microvascular rupture of the cervix or localized shedding of the endometrium. Typically, cervical bleeding is less likely to be accompanied by abdominal distension, while endometrial bleeding may cause uterine contractions, leading to lowe...

[Read More] Understanding Abnormal Bleeding and Abdominal Discomfort After Intercourse


Understanding Unusual Bleeding and Pain Before Menstruation

Premenstrual bleeding during intercourse and dysmenorrhea for four days outside of the menstrual period? Hello Doctor: My menstrual cycle is very regular at 28 days, rarely faster or slower. This time it was three days late, and I experienced bleeding after intercourse on the 7th...


Dr. Chen Changfu Reply:
According to the description, there was bleeding after intercourse on the 7th, followed by the onset of menstruation two days later (on the 9th). Starting on the 19th, there was persistent pain similar to menstrual cramps (not during the menstrual period) for four consecutive day...

[Read More] Understanding Unusual Bleeding and Pain Before Menstruation


Unexplained Bleeding After Menstruation: Possible Causes and Insights

Unusual bleeding Hello, Doctor: I was diagnosed with endometrial hyperplasia earlier this year, and after six months of medication, my follow-up results have been normal. In November, my endometrial thickness was within the range of 0.5-6. My menstrual period started on December ...


Dr. Chen Changfu Reply:
Most cases of postcoital bleeding are due to vaginal mucosal injury, with only a small percentage resulting from diseases of the female reproductive organs. Since you have already been examined by a gynecologist with no abnormalities found, you can feel reassured and continue to ...

[Read More] Unexplained Bleeding After Menstruation: Possible Causes and Insights


Understanding Post-Sexual Activity Bleeding: When to Seek Medical Advice

Hemorrhage Experiencing a small amount of blood or brown discharge after masturbation could be due to friction and may not necessarily indicate a serious issue, especially if there was no penetration. However, if the bleeding persists, increases in volume, or is accompanied by pa...


Dr. Yang Wangjun Reply:
Hello: Regarding your inquiry, here are the responses: (1) This is not postcoital bleeding. (2) There are many causes of vaginal bleeding. First, it is essential to confirm whether it is true genital bleeding or if it is actually coming from the urethra or even the rectum. Next, ...

[Read More] Understanding Post-Sexual Activity Bleeding: When to Seek Medical Advice


Understanding Lower Abdominal Pain: Causes and Concerns for Women

Lower abdominal pain? Hello: In recent months, I have occasionally felt a sharp pain about ten centimeters below my navel, which I believe might be in the area of the uterus. I am married and have regular sexual intercourse with my husband, but there has been no postcoital bleedi...


Dr. Chen Changfu Reply:
The abdominal location you described corresponds to the approximate position of the uterus within the abdominal cavity in females, and the intermittent cramping pain is very similar to the symptoms of uterine contractions. The uterus is made of muscular tissue, and if it is stimu...

[Read More] Understanding Lower Abdominal Pain: Causes and Concerns for Women


Understanding Irregular Menstrual Cycles and Their Connection to Anemia

Irregular menstruation Menstrual irregularities can occur for various reasons, including hormonal imbalances, stress, changes in weight, or underlying medical conditions. It's not uncommon for periods to be delayed for 1 to 2 months and then return to a regular cycle. Anemia...


Dr. Chen Fuhao Reply:
"Hello! The so-called normal menstruation occurs under conditions of normal female endocrine function, characterized by periodic and regular ovulation, followed by the shedding of the endometrium and bleeding. The typical cycle ranges from 21 to 35 days. Dysfunctional uterin...

[Read More] Understanding Irregular Menstrual Cycles and Their Connection to Anemia


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