Patient's question:
Detailed medical condition and consultation purpose:Duration and persistence of the current illness: Intermittent for 2 years
Current general condition:
Medical history: I would like to ask you a few questions. During sexual intercourse, my vagina bleeds. I went to the gynecology department for an examination, but there were no signs of inflammation. I had a physical examination organized by my company in April, and a Pap smear was also performed. Is it necessary for me to have another Pap smear now?
Follow-up question: A few months ago, my discharge was like cottage cheese. In addition to the Pap smear, is it necessary for me to undergo any other tests? Are there any other conditions that could cause such symptoms?
Doctor's answer:
Hello: For female coital bleeding, the first step is to identify the cause. If coital bleeding is caused by local organic lesions of the female external genitalia, treating the local lesion will also cure the coital bleeding. For example, if coital bleeding is caused by conditions such as vulvar ulcers, vulvar eczema, or vulvar herpes, antibiotics should be used first to reduce inflammation, and the eczema or herpes should be cured, allowing the coital bleeding to naturally resolve. If coital bleeding is caused by trichomoniasis, metronidazole should be used first to treat the trichomoniasis. Once the trichomoniasis is cured, the coital bleeding will naturally resolve.If coital bleeding is caused by improper coital practices, both partners should learn about sexual knowledge, show mutual understanding and cooperation, and adopt appropriate coital methods and positions. Women should relax mentally, avoid tension and depression, and eliminate unnecessary concerns. Men should provide sufficient foreplay to stimulate the woman's arousal. During coitus, movements should be gentle, and roughness or insertion into the vagina should be avoided.
Postmenopausal women may apply a suitable ointment externally during coitus to improve vaginal lubrication and prevent atrophy. Sexual activity should be appropriately restrained, and coitus is prohibited during a woman's menstrual period. Women over 40 with coital bleeding should be alert to the possibility of malignant genital lesions.