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Re: GYNECOLOGIC: bleeding during sex

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sun May 18 20:23:19 2008


CAB

It is trial and error at best. Monophasic dosing is a good bet...Dr. von Almen

At Sun, 18 May 2008, cab wrote: >
>Can you recomend a type of BC? I am on tri-sprintec (the generic version
>of ortho trycyclen low), but I am switching to microgestin.
>>
>>Possibly. I have had some that stop after changing pills, or having
>>pregnancies. Others continue with the bleeding...Dr. von Almen
>>
>>At Sun, 18 May 2008, cab wrote:
>>>
>>>Dr. vonAlmen
>>>Thank you for your explanation. That is similiar to what my doctor
>>>described to me. Will this problem eventually go away? I am still young
>>>and I would like to be able to have a normal sex life! I have gone to
>>>the gynecologist annually since I began having sex, I have always been
>>>careful when choosing partners/using protection. I have done everything
>>>right and so far I have experienced no problems. >>
>
>>>>CAB
>>>>Because the cervix is an organ that is constantly rebuilding, it has the
>>>>tendency to become very engorged with blood vessels and immature tissue.
>>>>It can then bleed very easy. It is not a true infection. Some say it
>>>>is hormonal changes, but we all have groups of women that have very
>>>>freely bleeding cervices. The old gynecologists used to burn them, but
>>>>I am not sure that helped any more than just watching them...Dr. von
>>>>Almen
>
>>>>>Can you please describe chronic cervicitis? I do not understand how I
>>>>>could get this - I have never had an STD or even a yeast infection. I
>>>>>got the gardisil shot this past year.
>>>>>Is this something that will last for life?
>>>>>>
>>>>>>CAB
>>>>>>
>>>>>>If pap and cultures are negative, this may just be chronic cervicitis
>>>>>>and there is not much you will be able to do about this.
>>>>>>>
>>>>>>>I am 26 years old and I have recently begun to suffer from bleeding
>>>>>>>during intercourse - not after, just during. I do not experience any
>>>>>>>pain. My boyfriend is not particularly large. I was not a virgin
>>>>>>>before I met him and I never experienced this problem before. I have
>>>>>>>been sleeping with my boyfriend for about a year and a half. The first
>>>>>>>time it happened was a couple months ago - I didn't think much of it
>>>>>>>because I had not taken my birth control right that week and I figured
>>>>>>>my period came early. It happened again recently and I could not think
>>>>>>>of any reason. I went to my doctor and she was unable to find anything
>>>>>>>wrong with me. All of my paps have been normal, I do not have an STD or
>>>>>>>an infection and I have never been pregnant. I am on the pill. She
>>>>>>>used a large cutip to poke my cervix lightly and it immediately started
>>>>>>>to bleed. She used silver nitrate to cover the area and told me I have
>>>>>>>nothing to be worried about. Is this normal? Do I need to have
>>>>>>>additional tests done? I am scared to have sex again and I find this
>>>>>>>extremely embarrasing and gross.
>>>>>>
>>>>>>--
>>>>>> Note: Opinions expressed here are for educational purposes
>>>>>> only and, as such, do not constitute a physician-patient
>>>>>> relationship. This information is not intended to supplant
>>>>>> the need for you to consult with your physician prior to
>>>>>> choosing therapeutic options and/or interventions.
>>
>>--

--
 Note: Opinions expressed here are for educational purposes
       only and, as such, do not constitute a physician-patient
       relationship.  This information is not intended to supplant
       the need for you to consult with your physician prior to
       choosing therapeutic options and/or interventions.
 ** Private emails cannot be entertained due to time
       constraints; consequently, they will receive no response.

William F. von Almen, II, MD, FACOG Private Practice New Orleans, La.






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