WOMENS-HEALTH Messages for April, 2000: Re: Question on spotting after intercourse?

Re: Question on spotting after intercourse?

From: D. Ashley Hill, MD (anonymous@obgyn.net)
Fri, 28 Apr 2000 15:59:40 -0500 (CDT)

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In reply to: Becky: "Question on spotting after intercourse?"

At Fri, 28 Apr 2000, Becky wrote: >
>Hi I have a question on spotting after intercourse. I underwent a
>subtotal hysterectomy 14 weeks ago and will obviously no longer be
>menstruating. My question is every time I have intercourse now I spot
>blood afterwards.

There are a number of possible causes, including cervicitis, an endocervical polyp, or, rarely, endocervical cancer. However, the most likely source by far is that a small amount of endometrial tissue (the lining of the uterus) remains attached to the cervix. This can actually lead to a monthy "period" although it is usually only spotting. It can also lead to postcoital spotting.

There are pros and cons to a subtotal hysterectomy. One of the cons is that this can occur. It can be easy to fix (cauterizing the inside of the cervix in the office) or hard to fix,depending on the amount of bleeding. I have known a few patients over the years who have underwent removal of the cervix because of bothersome bleeding. Since it's not possible to tell for sure what it is without an exam, it's best to see your doctor. Good luck with everything.

--
David Ashley Hill, MD
Associate Director
Department of Obstetrics and Gynecology
Florida Hospital Family Practice Residency
http://home.mpinet.net/dahmd

My apologies, but due to time constraints I am unable to answer private e-mails.

Next message: Maryann: "Re: Cold Cone Biopsy for Dysplasia"
Previous message: Kelly Shanahan, MD: "Re: Shortened cycle w/ heavy bleeding"
In reply to: Becky: "Question on spotting after intercourse?"

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