WOMENS-HEALTH Messages for March, 2002: Re: [Birth Control] Bleeding during intercourse

Re: [Birth Control] Bleeding during intercourse

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sat, 23 Mar 2002 08:23:28 -0600 (CST)

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At Sat, 23 Mar 2002, shirley wrote: >
>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!

Shirley

With all that ruled out, I would wait a cycle or two on the new pill and see if that helps. It could be as the np said, but better to rule out other problems first

--
William F. von Almen, II, MD, FACOG
Chairman, Editorial Advisory Board
Pregnancy and Birth Section
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.

Next message: William F. von Almen, II, MD, FACOG: "Re: spontaneous early abortion on orthotrycyclen"
Previous message: Maureen: "Re: How to wake up ovaries after hysterectomy"
In reply to: shirley: "Re: [Birth Control] Bleeding during intercourse"
Next in thread: Rachel: "Re: [Birth Control] Bleeding during intercourse"

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