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Hello I would be happy to help. Here are the causes of bleeding with intercourse:
1. Vaginal dryness and trauma to the vaginal skin (causes small micro-tears)
2. Uterine or cervical polyps
3. Prominence of the glandular tissue at the opening of the cervix (called cervical ectopion)
4. Vaginal or cervical infections (can include non-STD's as well as STD's)
So when someone comes in with this complaint we:
1. Do an exam
2. Perform cultures of the cervix as appropriate
3. If the exam is normal, then an ultrasound can help to sort out whether polyps are present
4. If ectropion is present, this can be treated with cautery or freezing of the cervix.
Does this help?
This is called a LEEP procedure. This stands for loop electro excisional procedure. It is the removal of a small amount of tissue at the opening of the cervix after which, when it heals, there is much less of the ectropion present that is a source of bleeding. In patients who I have treated, this works great. I actually never use cryotherapy.
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