Skip to main content

Bleeding After Intercourse Isn't All That Can Go Wrong After Sex


Headaches, pelvic pain eye inflammation, muscle soreness, out of breath.... Does this sound like the latest round of P90X, well it's not, it's what can happen after sex! As a gyno we probably get asked about bleeding, or spotting that occurs after intercourse more than any other complaint, but lots of other physical symptoms and issues can occur. Sometimes we discover there is a small tear that occurred in the back wall of the vagina, and some bruising around the urethra as well. Headaches that only occur after sex are relatively common as well. The headaches that individuals have only after having sex are most commonly called post coital headaches but are also also called sexual headache, benign vascular sexual headache, and coital cephalagia. Some women will have have these coital cephalagia headaches before they orgasm; and in others this headache only occurs after orgasm. The two coital cephalgia headaches have different meaning. What about muscle injuries, are you chuckling when someone comes in with back pain, thinking, really you just moved a couch or what was your buddy doing to get the backache! In some cases trying those oh so fun, but so demanding sex positions might be the cause of short term muscle pain. But more serious muscle symptoms with intercourse can occur. The pains can be in almost any muscle group, back or otherwise, and for some women vaginal or vulvar pain can occur, known as vulvodynia. In those women chronic constriction of the vaginal muscles can lead to vaginismus. Women with vulvodynia or vaginismus have special considerations, and should refer to these topics in the blog. Myofascial pelvic pain syndrome is not just intercourse related, but can be related to episodes of sex. This usually has women complaining of pains at other times not just pain with intercourse but those who have tension in their pelvic floor muscles, or spasm of the inner muscles of the pelvis can have significant pain due to muscle tone being too tight, essentially spasming after intercourse. As a gyno we sometimes find these muscles by trigger point pain. During intercourse o4r immediately after intercourse the trigger point pain can sometimes cause pain to be referred to near by nerves or muscle groups, and pain can then be located anywhere from the vagina, vulva, perineum, rectum, and bladder or the thighs, buttocks, or lower abdomen. Lots of other things can occur from sex, we'll be covering this topic a lot, but eye symptoms?! Yes, this occurs too. Post coital bletharitis with women complaining of runny eyes has also been known to occur...strictly speaking its an eye irritation that only occurs after sex. Now other things are fixed, dysmenorrhea is usually improved by sex, so no need to avoid sex with your menstrual period.

Comments

Popular posts from this blog

Post-Endometrial Ablation Syndrome

If you have had an endometrial ablation and have developed symptoms of pelvic pain you might have post endometrial ablation syndrome. What is post-endometrial ablation syndrome? It is a constellation of symptoms due to entrapped blood or tissue within a uterus that has previously undergone an endometrial ablation. We are able to diagnose this at Women's Health Practic e but occasionally other conditions are causing similar symptoms. Other complications of endometrial ablation include pregnancy, risks from pre-existing conditions such as a polyp or fibroid, an infection of the uterus, or a pregnancy. If you have had a tubal ligation then it is possible that the condition could be post-ablation tubal sterilization syndrome. The ablation procedure is designed to destroy all lining tissue, but in fact there is no way to confirm the completeness of the ablation. It is thought that either residual or regrowth of the tissue is producing the symptoms of post-endometrial ablation syndrom...

Passing Your Uterine Lining, Menstrual Period Norms

Decidual Cast Periods can be fairly easy, passing some tissue at a time, or off can come the whole lining in one piece called a decidual cast. Generally the lining of the uterus is only 6-8 mm thick at the time of the menstrual period, and it is shed gradually, a few cells at a time. The decidual cast is when the entire lining passes spontaneously.  It's not uncommon, but it usually both uncomfortable, and alarming to some. But us women are designed to have some sort of periods  Or Not? We have to pass tissue each month. Or Not? Are they good for us? Or Not? Do we want them? Or Not? Is this something that is individual? Or Not? It's a complex topic that I will be discussing a lot over my time in this blog. So lets start with basics: How much do we bleed and what are we loosing, and just what was this that the patient passed? And another basic: track your periods, and the Women's Health Practice site http://www.womenshealthpractice.com/media/pdf/menstrual_chart.pdf you...

You Have an IUD: But a Positive Pregnancy Test

Fortunately IUD pregnancy failures are rare. But if you have an IUD for contraception, and you get a positive pregnancy test, you probably ask yourself, what next? Well, make your gyno appointment promptly, this is a condition that is not typically an emergency, but it can be and it’s not handled over the phone or on a blog, or through self diagnosis! That being said, some researchers from University of Texas Southwestern Medical Center in Dallas decided to look back at over 4100 women who had IUDs and of those 42 cases who became pregnant in their institution, over about a year period of time, to help understand what these women could expect when they got to their gyno and what actually happened to their pregnancies. Accurate pregnancy diagnosis, pelvic examination, and pelvic ultrasound were the cornerstones of the evaluations. They had very specific ways they looked at their ultrasound to prove there was no pregnancy in the fallopian tube, or partially in the fallopian tube...