[18F] Experiencing vaginal bleeding during sexual activity

Patient Description

An 18-year-old female has been experiencing vaginal bleeding specifically during sexual activity, such as deep penetration fingering, for the past two months. This is the first occurrence of such symptoms for the patient. Alongside the bleeding, the patient reports a discharge that appears yellow and brown with an unpleasant odor, though no sores, blisters, or lesions are present in the genital area. The patient has not identified any pain or discomfort associated with the bleeding but confirms that it happens every time during the mentioned activity. The patient does not take any medications and is unsure about any pre-existing conditions or chronic illnesses. No other symptoms have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, there are several possibilities:

  • Cervical Ectropion (or Cervical Erosion): This is a condition where the cells that are normally inside the cervical canal, known as glandular cells, are present on the outside surface of the cervix. These cells are more delicate and can bleed when touched, such as during sexual activity. This condition is common in young women and is not usually a cause for concern. However, it can cause symptoms like vaginal discharge and bleeding during or after sexual activity.

  • Sexually Transmitted Infections (STIs): Certain STIs, such as Chlamydia or Gonorrhea, can cause bleeding during or after sex. These infections can also cause changes in vaginal discharge, such as the yellow and brown discharge you described.

  • Vaginal Trauma: If the bleeding only occurs during deep penetration, it's possible that the activity is causing small tears in the vagina or cervix, leading to bleeding.

  • Polyps: These are small, benign growths that can develop on the cervix or inside the cervical canal. They can cause bleeding during or after sex.

What you can do

Given your symptoms, it's important to see a healthcare provider for a proper evaluation. They may perform a pelvic exam, Pap smear, or tests for STIs to determine the cause of your symptoms.

In the meantime, you may want to avoid sexual activities that cause bleeding until you can see a healthcare provider. This can help prevent further irritation or injury.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Heavy vaginal bleeding
  • Severe abdominal or pelvic pain
  • Fever or chills
  • Foul-smelling vaginal discharge
  • Worsening of your current symptoms

Remember, while I strive to provide accurate and helpful information, I'm not a doctor. Please consult with a healthcare provider for a formal diagnosis and treatment.

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8 mo ago


People Also Ask


What is cervical ectropion and how does it cause bleeding during sexual activity?

Cervical ectropion, also known as cervical erosion, occurs when the glandular cells that are usually inside the cervical canal are present on the outside surface of the cervix. These cells are more delicate and can bleed when touched, such as during sexual activity. It is common in young women and can cause symptoms like vaginal discharge and bleeding during or after sex.


Can sexually transmitted infections cause changes in vaginal discharge and bleeding during sex?

Yes, certain sexually transmitted infections (STIs) like Chlamydia or Gonorrhea can cause bleeding during or after sex. These infections can also lead to changes in vaginal discharge, such as a yellow or brown color and an unpleasant odor.


What are the potential causes of vaginal bleeding during deep penetration?

Vaginal bleeding during deep penetration can be caused by several factors, including cervical ectropion, vaginal trauma (small tears in the vagina or cervix), sexually transmitted infections, or cervical polyps. Each of these conditions can lead to bleeding during or after sexual activity.


When should I seek immediate medical attention for vaginal bleeding and discharge?

You should seek immediate medical attention if you experience heavy vaginal bleeding, severe abdominal or pelvic pain, fever or chills, foul-smelling vaginal discharge, or a worsening of your current symptoms. These could indicate a more serious underlying condition that requires prompt evaluation by a healthcare provider.


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