[24F] Experiencing post-coital bleeding

Patient Description

A 24-year-old female has reported experiencing vaginal bleeding after sexual intercourse on two separate occasions. The bleeding is characterized as a light red heavy flow that ceases after the initial wiping. There are no accompanying symptoms such as abnormal vaginal discharge, pelvic pain, intermenstrual bleeding, or changes in menstrual cycle. The patient has no known history of HPV, sexually transmitted infections, allergies, or adverse reactions to medications, and is not currently on any medications. There are no pre-existing conditions or chronic illnesses reported.

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Arora's Assessment

What might be happening

Based on your symptoms, possible conditions include:

  • 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.
  • 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.
  • 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.
  • Sexually Transmitted Infections (STIs): Some STIs can cause bleeding after intercourse. These include chlamydia, gonorrhea, and trichomoniasis.

    • Treatment typically involves antibiotics.
  • 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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People Also Ask


What are cervical polyps and how are they treated?

Cervical polyps are small, benign growths on the cervix that can cause bleeding after intercourse. They are usually removed in a doctor's office, which is a simple procedure.


Can cervicitis occur without a sexually transmitted infection?

Yes, cervicitis can occur without a sexually transmitted infection. It can be caused by allergies to spermicides or latex in condoms, or other non-infectious factors. Treatment depends on the underlying cause.


What is cervical ectropion and does it require treatment?

Cervical ectropion is a condition where the cells from inside the cervical canal spread to the outer surface of the cervix. It often doesn't require treatment unless it causes significant bleeding or discomfort.


How can I differentiate between normal post-coital bleeding and a sign of a more serious condition?

Normal post-coital bleeding is usually light and stops quickly. If the bleeding is heavy, persistent, or accompanied by other symptoms like severe pain or unusual discharge, it could indicate a more serious condition and should be evaluated by a healthcare provider.


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