Presentation
She presented with secondary postpartum hemorrhage on day 14 and again with life-threatening postcoital vaginal bleeding 4 months after cesarean delivery. [ncbi.nlm.nih.gov]
In our case, a young fertile female with congenital uterine AVM presented with postcoital bleeding. It is a very rare presentation of uterine AVM and has not been reported yet. [clinicalimagingscience.org]
A woman presenting with this symptom who has negative cytology has a greatly reduced risk of cervical cancer but the risk is not entirely eliminated with clinical features suggestive of cervical cancer on examination. [gpnotebook.co.uk]
Entire Body System
- Asymptomatic
Endometriosis of the uterine cervix is a rare lesion that is generally asymptomatic in gynaecological practice. [ncbi.nlm.nih.gov]
Ectropions are often asymptomatic, but patients may present with infection or bleeding. It is very common amongst teenagers, pregnant women and also women taking the combined oral contraceptive pill. [fastbleep.com]
- Severe Pain
You should especially watch out for symptoms like severe pain in the pelvis or abdomen, severe bleeding, bleeding during pregnancy, high fever or dizziness. [condom-sizes.org]
Severe Pain Amy,* a 30-year-old woman in Jackson, Mississippi, knows about pain during and after sex. Since her marriage in October 2008, sex had been incredibly painful, and after it was over, the pain lingered. [womansday.com]
This is problematic because these cells still act like endometrial cells, causing all manner of unpleasantries, mostly severe pain-related. When these uterine cells jump ship and attach to the cervix or vagina, they can bleed during sex. [bustle.com]
- Epilepsy
It has been used to treat epilepsy. Researchers found foods are those that are still “fresh from the farm” and are not that increased amount of ketones—the byproduct of the break- processed or are refined as little as possible. [zombiedoc.com]
[…] misdannelse i nervesystem International Classification of Primary Care 1993 Danish0‑L N86 Dissemineret sklerose International Classification of Primary Care 1993 Danish0‑L N87 Parkinsons sygdom International Classification of Primary Care 1993 Danish0‑L N88 Epilepsi [art-decor.org]
- Swelling
Causes[edit] Mittelschmerz is believed to have a variety of causes: Follicular swelling: The swelling of follicles in the ovaries prior to ovulation. [en.wikipedia.org]
Sperm Allergies According to experts, as many as 40,000 women in the United States suffer from something called seminal plasma hypersensitivity, an allergy to semen that can leave a woman with hives, itching, swelling and breathing difficulties. [womansday.com]
- Candidiasis
It is important to note that Bacterial Vaginosis and Candidiasis are NOT sexually transmitted infections (STI). A dedicated article on STI's and their treatment can be found here. [fastbleep.com]
Postcoital bleeding is commonly caused by cervical or endometrial polyps, cervicitis as a result of chlamydia or gonorrhoea and vaginitis associated with trichomoniasis or candidiasis. [oatext.com]
Gastrointestinal
- Abdominal Pain
When the patient complained of left-sided abdominal pain 10 years later, she underwent a CT urogram, which showed a chronically obstructed left kidney—probably related to a surgical clip obstructing the distal third of the left ureter. [mdedge.com]
If the pain is prolonged and/or severe, other diagnostic procedures such as an abdominal ultrasound may be performed to rule out other causes of abdominal pain. [en.wikipedia.org]
The abdominal pain is usually bilateral and rarely of more than two weeks' duration. [drronen.com]
[…] satiety) and/or loss of appetite pelvic or abdominal pain increased urinary urgency and/or frequency consider carrying out tests in primary care if a woman reports unexplained weight loss, fatigue or changes in bowel habit carry out appropriate tests [gpnotebook.co.uk]
If you have any complications including bleeding, abdominal pain, or fever, you should return to the doctor for reexamination. [emedicinehealth.com]
- Constipation
Symptoms include lower abdominal pain, severe backache, constipation and dyschezia [ 9 ], which were found in the current case. [alliedacademies.org]
Risk factors for pelvic organ prolapse include parity, obesity, age, hysterectomy, race, constipation, and chronic cough. [ncbi.nlm.nih.gov]
- Nausea
Other symptoms which can occur with vaginal bleeding include: Low back pain Pain during bowel movements Abdominal crampimg Menopausal symptoms Nausea Vomiting Infertility Unusual discharge Painful sex Blood in the urine can sometimes be mistaken for bleeding [condom-sizes.org]
You should also consult your doctor if you have any of the following symptoms. vaginal itching or burning stinging or burning sensation when urinating painful intercourse heavy bleeding severe abdominal pain lower back pain nausea or vomiting unusual [healthline.com]
Non‐menstrual side effects included nausea, dizziness, headache, nervousness, abdominal pain and weight gain; all were mild in nature, infrequent and not tabulated in most of the studies. [doi.org]
- Vomiting
Other symptoms which can occur with vaginal bleeding include: Low back pain Pain during bowel movements Abdominal crampimg Menopausal symptoms Nausea Vomiting Infertility Unusual discharge Painful sex Blood in the urine can sometimes be mistaken for bleeding [condom-sizes.org]
You should also consult your doctor if you have any of the following symptoms. vaginal itching or burning stinging or burning sensation when urinating painful intercourse heavy bleeding severe abdominal pain lower back pain nausea or vomiting unusual [healthline.com]
- Diarrhea
MGA KARAMADAMAN NA SANHI NG HINDI LIGTAS NA PAGKAIN AT INUMIN (CHOLERA, DIARRHEA, HEPATITIS, AT TYPHOID FEVER) Pag-iwas at Pagsugpo: Uminom lamang ng ligtas at malinis na tubig. [zombiedoc.com]
Cardiovascular
- Hypertension
Two-dimensional echocardiography showed right ventricular dysfunction with severe tricuspid regurgitation and severe pulmonary arterial hypertension. [clinicalimagingscience.org]
International Classification of Primary Care 1993 Danish0‑L K87 Kompliceret hypertension International Classification of Primary Care 1993 Danish0‑L K88 Ortostatisk hypotension International Classification of Primary Care 1993 Danish0‑L K89 Transitorisk [art-decor.org]
Musculoskeletal
- Low Back Pain
Other symptoms which can occur with vaginal bleeding include: Low back pain Pain during bowel movements Abdominal crampimg Menopausal symptoms Nausea Vomiting Infertility Unusual discharge Painful sex Blood in the urine can sometimes be mistaken for bleeding [condom-sizes.org]
- Leg Pain
We should be concerned when one experiences the following: post coital vaginal bleeding, vaginal spotting outside of menses, foul smelling discharge, pelvic/abdominal/flank pain, urinary disturbances like dysuria or hematuria, and leg pain or leg edema [zombiedoc.com]
Skin
- Ulcer
[…] for patients with persistent intermenstrual bleeding and negative pelvic examination Suspected Vulval cancer consider a suspected cancer pathway referral (for an appointment within 2 weeks) for vulval cancer in women with an unexplained vulval lump, ulceration [gpnotebook.co.uk]
Note whether any contact bleeding occurs, friability of tissue, cervical 'excitation' or tenderness, presence of ulceration, polyps or discharge and any other lower genital tract sites of bleeding. [patient.info]
The mechanism of progesterone-breakthrough bleeding is endometrial atrophy and ulceration due to insufficient estrogen. Copper IUC — Copper IUCs cause a foreign body reaction in the uterus that creates an inflammatory response. [drronen.com]
Immunization for pregnancy, peptic ulcer, gastric cancer, cocaine abuse, and atherosclerosis. Infect Dis Clin North Am. 1999 Mar. 13(1):245-64, ix. [Medline]. Berek JS, Adashi EY, Hillard PA, eds. Novak's Gynecology. 12th ed. [medscape.com]
Psychiatrical
- Hunger
Hunger You know the joke about the guy who has sex and immediately gets up to make himself a sandwich? Well, it's not that unusual, and women may find themselves feeling hungry after intercourse, even craving specific foods, says Alman. [womansday.com]
Neurologic
- Headache
Bad Headaches If sex is followed by a bad headache, you're not alone. It can be a common complaint, says Dr. Rankin. "It's what we docs call 'coital cephalgia,' 'exertional headache' or 'effort migraine.'" Translation: an orgasm headache. [womansday.com]
Signs of anemia include: fatigue weakness dizziness headaches unusually pale skin If your anemia is caused by blood loss, your doctor may prescribe an iron supplement. But the most important source of iron is diet. [healthline.com]
Non‐menstrual side effects were infrequent and included nausea, breast tenderness, dizziness, lower abdominal pain, fatigue, headache, weight gain, irritability, weakness, headache and loss of libido. [doi.org]
- Burning Sensation
Vaginal itching and burning sensation. Burning sensation while urinating. Intense lower back pain. How to Prevent Bleeding After Sex? The treatment or prevention of the abnormal vaginal bleeding depends on the root cause of the problem. [womens-health-naturally.com]
You should also consult your doctor if you have any of the following symptoms. vaginal itching or burning stinging or burning sensation when urinating painful intercourse heavy bleeding severe abdominal pain lower back pain nausea or vomiting unusual [healthline.com]
- Excitement
Note whether any contact bleeding occurs, friability of tissue, cervical 'excitation' or tenderness, presence of ulceration, polyps or discharge and any other lower genital tract sites of bleeding. [patient.info]
What makes me more excited is the creation of the Poison Information Service (PIS). [zombiedoc.com]
Urogenital
- Postcoital Bleeding
OBJECTIVES: To document the frequency of pathology in women who complain of postcoital bleeding. To determine whether negative cervical cytology excludes serious pathology in women with postcoital bleeding. [ncbi.nlm.nih.gov]
- Dyspareunia
In bivariate analyses, history of sexually transmitted diseases (STDs; P = .03), HIV infection (P = .008), and dyspareunia or pain during intercourse (P = .0001) were significant risk factors. [ncbi.nlm.nih.gov]
N94.11 Superficial (introital) dyspareunia N94.19 Other specified dyspareunia Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. [icd10data.com]
Comparison between PCB and non-PCB groups indicated several significant high-risk comorbidities including cervical polyps, cervical erosion, leukoplakia of cervix, intrauterine contraceptive device, cervicitis, vaginitis, menopause, dyspareunia, and vulvodynia [tmu.pure.elsevier.com]
- Pelvic Pain
New chapters on Chronic Pelvic Pain, BRCA1 and BRCA2 mutations, Obstetric Anesthesia and Analgesia, Subdermal Contraceptive Capsule Insertion and Removal, Trigger Point Injections, and more. [books.google.com]
Conclusion: All women with postcoital bleeding or pelvic pain should have a detailed history taken from them and thorough examination including speculum examination and visualization of posterior vaginal fornix to detect vaginal endometriosis. [alliedacademies.org]
Signs and symptoms[edit] Mittelschmerz is characterized by lower abdominal and pelvic pain that occurs roughly midway through a woman's menstrual cycle. [en.wikipedia.org]
Chlamydia and gonorrhea are bacterial infections that impact the cervix, causing bleeding as well as other unpleasant side effects such as itching, burning, changes to your vaginal discharge, and pelvic pain. [bustle.com]
- Dysmenorrhea
Detailed history revealed that she suffered from persistent dysmenorrhea, dyschasia& constipation. Vaginal speculum examination revealed a large fleshy polypoidal mass in the posterior vaginal fornix ( Figure 1 ). [alliedacademies.org]
For example, one should inquire about pain with focus on pain during menstruation (dysmenorrhea) or with intercourse (dyspareunia). [ncbi.nlm.nih.gov]
- Cesarean Section
In one patient, sonography showed a dehiscent cesarean section scar. [bjgp.org]
Cesarean section, Hysterectomy); Engage special groups where health services are focused 2. Blood transfusion; and and customized to the poor and vulnerable populations in3. [zombiedoc.com]
Workup
Colonoscopy
- Polyps
Twenty per cent had benign polyps, including endometrial polyps and 25% had cervical ectropion. Cervical intraepithelial neoplasia was detected in 6.8% of cases. There was no case of invasive cancer of the lower genital tract. [ncbi.nlm.nih.gov]
(Polyps can be easily removed by applying ring forceps, twisting the polyp on its base, and pulling gently. Most cervical polyps are pedunculated and detach easily and painlessly). [medscape.com]
Polyps. A polyp coming from the cervical canal may bleed only when the cervix is touched. This could include sex toys, fingers, or a penis. Cervical polyps may account for up to 12.5% of bleeding after sex (Sahu, 2007). [blogs.webmd.com]
The presence of cervical polyps may result in postcoital bleeding during pregnancy because the tissue of the polyps is more easily damaged. [en.wikipedia.org]
Cervical and endometrial polyps Cervical polyps should be avulsed and sent for histology. [patient.info]
Treatment
All recruited women were followed up two weeks, three months and six months to review their symptoms and response to the treatment. RESULTS: The treatment group had a significantly better long-term cure rate and improvement rate. [ncbi.nlm.nih.gov]
Four months later the mass recurred, in spite of, receiving hormonal treatment. [alliedacademies.org]
Infection Antibiotic treatment will depend on the organism involved and local patterns of sensitivity. Contact tracing and treatment of sexual partners should be initiated. [patient.info]
Treatment will depend on the cause. [cheshiregynaecologist.co.uk]
Etiology
Patients need to understand the differential diagnoses and work up and understand that, occasionally, no clear etiology can be identified. [medscape.com]
Postcoital bleeding: A review on etiology, diagnosis, and management. Obstetrics and Gynecology International. 2014;2014:192087. . [mayoclinic.org]
Etiology The differential diagnosis for women who present with postcoital bleeding is broad. [ncbi.nlm.nih.gov]
Epidemiology
The aim of our study is to analyze the epidemiological, diagnostic and therapeutic profile as well as preventive measures in case of post coital tear. [ncbi.nlm.nih.gov]
The epidemiology of self‐reported intermenstrual and postcoital bleeding in the perimenopausal years First published: 26 March 2013 Cited by: 1 Abstract Objective To obtain estimates of the rates of occurrence and spontaneous resolution of intermenstrual [doi.org]
Shapley M, Jordan K, Croft PR (2004) An epidemiological survey of symptoms of menstrual loss in the community. Br J Gen Prac 54:359–363 Google Scholar 2. [link.springer.com]
Epidemiology of PCB Self-reported PCB from patient questionnaires was 6% in premenopausal women. Studies vary, and between 1 and 39% of women with cervical cancer will complain of PCB. [fastbleep.com]
Prevention
The aim of our study is to analyze the epidemiological, diagnostic and therapeutic profile as well as preventive measures in case of post coital tear. [ncbi.nlm.nih.gov]
[…] is no known prevention. [en.wikipedia.org]
How to Prevent Bleeding After Sex? The treatment or prevention of the abnormal vaginal bleeding depends on the root cause of the problem. [womens-health-naturally.com]
We evaluated the existing data on safety and effectiveness of pericoital use of levonorgestrel and other hormonal drugs to prevent pregnancy. [doi.org]
The government along with Cervical Cancer Prevention (CECAP), Philippine Society Cervical Pathology and Colposcopy HOW DO WE PREVENT CERVICAL CANCER? There are several ways to prevent cervical cancer. One is through VACCINATION. [zombiedoc.com]