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Re: [Birth Control] Bleeding during intercourse

From: shirley (anonymous@obgyn.net)
Sat, 23 Mar 2002 00:50:23 -0600 (CST)


At Fri, 22 Mar 2002, M. Kelly Shanahan, MD, FACOG wrote: >
>At Fri, 22 Mar 2002, shirley wrote:
>>
>>I've been on Ortho Tricyclen for a year and a half and love it. The
>>only side effect I've been having is slight bleeding during intercourse.
>>My periods have been regular, and there has not been any breakthrough
>>bleeding. I was recently prescribed to switch to Desogen to see if it
>>would help with the bleeding during intercourse. I wanted a second
>>opinion before switching from the familiar Ortho Tricyclen to Desogen.
>>Will it will help with the bleeding and what side effects I should
>>expect with a higher progestin?
>>Thanks!
>
>bleeding during sex is usually NOt a birth control pill problem.
>Infection, polyps, cervical abnormalities should be ruled out -- even
>cervical endometriosis can cause sex-related bleeding
>
>--
>M. Kelly Shanahan, MD, FACOG
>S. Lake Tahoe, CA
>
>author of "Your Over-35 Week-by-Week Pregnancy Guide"
>
>**this is for general educational purposes only and does not supplant the need for you to consult with your own physician**
>***private e-mails WILL NOT be answered***
>

Thanks for the advice, however, I had a cervical assessment done just this past week and a chlamydia test just in case. The test came out negative and my nurse practitioner said that my cervix was normal. I'm a college student and I'm assuming the nurse practitioner is reliable; however I've become much more concerned after your reply. I was told that I may just have a sensitive cervix and the stimulation of intercourse causes a little breakthrough bleeding. She also said that the higher progestin in Desogen should help thicken my cervical mucuous and possibly help the problem. I haven't been experiencing pain and it seems like the bleeding is from deep penetration. Should I get a second opinion and another pelvic exam just to make sure? How rare is it to have bleeding during intercourse as a side effect of bcp's? I'm very concerned about this being more serious than I may have previously assumed. Please respond. Thanks!




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