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I have vaginal bleeding after sex?What causes that and what…

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I have vaginal bleeding after...
I have vaginal bleeding after sex?What causes that and what can I do to stop it? I'm also 41 years old
Submitted: 2 years ago.Category: OB GYN
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1/17/2016
OB GYN Doctor: Dr. Tim, MD, Board Cert. OB/GYN replied 2 years ago
Dr. Tim, MD
Dr. Tim, MD, Board Cert. OB/GYN
Category: OB GYN
Satisfied Customers: 1,011
Experience: General OB/GYN, complicated obstetrics, complicated GYN
Verified

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?

Dr. Tim

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Customer reply replied 2 years ago
I already had a procedure done to the cervix. The freezing but didn't help much. What is the cautery procedure?
OB GYN Doctor: Dr. Tim, MD, Board Cert. OB/GYN replied 2 years ago

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.

Does this answer your question?

Dr. Tim

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Customer reply replied 2 years ago
thank you
OB GYN Doctor: Dr. Tim, MD, Board Cert. OB/GYN replied 2 years ago

Please take a moment to rate my answer and thank you.

Dr. Tim

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