[24F] Experiencing post-coital bleeding
Patient Description
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Arora's Assessment
What might be happening
Based on your symptoms, possible conditions include:
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Cervical Polyps: These are growths on the cervical canal, the passage that connects the uterus to the vagina. They can cause bleeding after sexual intercourse. They are usually not cancerous (benign).
- Treatment typically involves removal of the polyp in a doctor's office.
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Cervicitis: This is an inflammation of the cervix, often caused by sexually transmitted diseases, but can also be caused by other factors like allergies to spermicides or latex in condoms.
- Treatment typically involves antibiotics if it's caused by a bacterial infection.
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Cervical Ectropion (or Erosion): This is a condition in which the cells that are normally inside the cervical canal spread to the outer surface of the cervix. These cells are more delicate and can bleed after sexual intercourse.
- Treatment is typically not necessary unless the condition is causing a significant amount of bleeding or discomfort.
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Sexually Transmitted Infections (STIs): Some STIs can cause bleeding after intercourse. These include chlamydia, gonorrhea, and trichomoniasis.
- Treatment typically involves antibiotics.
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Cervical Dysplasia or Cervical Cancer: These are abnormal changes in the cells of the cervix that can lead to cervical cancer. These conditions can cause bleeding after sexual intercourse.
- Treatment typically involves removing or destroying the abnormal cells.
Please note that this is not an exhaustive list and other conditions may also cause your symptoms.
What you can do
You should make an appointment with a healthcare provider for a formal evaluation. They may perform a pelvic exam, Pap smear, or other tests to determine the cause of your bleeding.
In the meantime, it may be helpful to avoid sexual intercourse until you have been evaluated by a healthcare provider, as this may exacerbate your symptoms.
What you should look out for
Please seek immediate medical attention if you experience any of the following:
- Heavy vaginal bleeding (soaking through one or more pads or tampons every hour)
- Severe abdominal or pelvic pain
- Fever or chills
- Foul-smelling vaginal discharge
- Signs of shock, such as fainting, rapid heartbeat, or rapid breathing
Please remember that while I strive to provide accurate and helpful information, I am an AI and not a substitute for professional medical advice. Always consult with a healthcare provider for a formal diagnosis and treatment.
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1 yr ago