I have already been bleeding while having sex. An ER doctor I saw stated it may be precancer cells. I will be just wondering the causes of these cells. How does it take place, and do you know the symptoms? I do not have gynecologist because We destroyed my insurance coverage.

Residing Well Expert Dr. Jennifer Shu Pediatrician, Kids’ Healthcare Group

Professional solution

Many thanks for the concern, and I also’m sorry to listen to regarding the situation. To most useful assistance you, we consulted with Dr. Jennifer Gunter, an ob/gyn at Kaiser Permanente in bay area, Ca, and writer of “The Preemie Primer: an entire Guide for moms and dads of Premature Babies — from Birth through the Toddler Years and past.” She shared the following information:

Bleeding after intercourse, also known as post-coital bleeding, is a symptom that should never be ignored as it can be a danger signal of a few severe conditions.

Conditions that can cause bleeding after intercourse include the immediate following:

1) Precancer (dysplasia) or cancer tumors regarding the cervix. Many precancers and very early cancers do not bleed, however it is extremely important to rule this down. A Pap smear is preferred, as well as ladies over 30, an HPV test should always be done. HPV (the human papillomavirus) could be the virus that creates cancer that is cervical. Most Planned Parenthood clinics or county wellness divisions may do a Pap smear and HPV assessment at a cheaper than a physician’s workplace. In some instances, a doctor could also wish to just take a scraping through the inside for the cervix ( known as an endocervical curettage) to rule any abnormalities out which are away from reach of this Pap smear. For students, numerous pupil wellness clinics additionally do Pap smears.

2) Females over 35 also needs to be evaluated for precancer and cancer tumors of this womb. This will include an endometrial biopsy for most women. This sort of biopsy takes an example of cells through the liner associated with womb and it is an office procedure that is simple. This test can also be offered by an affordable cost at a nearby Planned Parenthood hospital. Obesity may be a danger element for cancer tumors regarding the womb because fat makes the hormones estrogen, which includes a role that is important the growth of endometrial cancer. Some physicians might suggest an endometrial biopsy for ladies who are more youthful than 35 if they’re obese.

3) Chlamydia and gonorrhea, two sexually transmitted diseases that cause disease for the cervix, may also cause bleeding after intercourse. It is advisable to have tested of these infections. This can be completed with a swab through the cervix ( during a pelvic exam) and sometimes even having an urine test. Testing of these conditions at Planned Parenthood, but the majority counties have actually low-cost or testing that is no-cost sexually transmitted conditions. The U.S. Centers for infection Control and Prevention will allow you to discover the closest clinics.

4) Finally, a typical and benign reason behind bleeding after intercourse is an ailment known as a cervical ectropion. This implies that the cells typically on the inside the cervix are growing on the exterior associated with cervix. Whenever these cells are on the exterior, they could become irritated and inflamed by the larger acid content of genital secretions and will bleed whenever moved (such as for instance during sex or having a Pap smear). A cervical ectropion is effortlessly seen during an exam with a speculum (because during a Pap smear). Often this disorder could be annoyed by high estrogen amounts, so women who will be from the birth control tablet may reap the benefits of switching up to a supplement with reduced estrogen amounts, or switching to a non-estrogen kind of contraception, such as an intrauterine unit, often helps.

I really hope this info is helpful and want you the greatest of fortune.