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

Re: [Birth Control] Bleeding during intercourse

From: Rachel (anonymous@obgyn.net)
Wed, 27 Mar 2002 07:54:09 -0600 (CST)

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In reply to: shirley: "Re: [Birth Control] Bleeding during intercourse"

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. I have had a similar experience to yours. I started having problems with OrthoCept (high estrogen and progesterone) after about a year and a half of use. I had an exam (everything was fine), was changed to OrthoTriCyclene (high estrogen) to see if just changing the pill would help. It did for about a month. Had another exam and sonogram to check inside the cervix (everything was fine), then changed to LoOverall (high progesterone). None worked so my Dr. had me go off the pill for 3 months to see if it was really the pill that caused the problem. I had no symptoms while off the pill. I returned to OrthoCept and the problem came back. I have now gone completely off the pill and am looking for a non-hormonal form of b.c.

Next message: Pam: "Re: Post Hysterectomy Bleeding?"
Previous message: bb: "[Birth Control] which pill? there's been so many"
In reply to: shirley: "Re: [Birth Control] Bleeding during intercourse"

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