Patient's question:
Detailed medical condition and consultation purpose: I had vaginal bleeding after having sex with my boyfriend.Duration of onset and current status: November 20
Current general condition: Still bleeding
Medical history: None
Previous diagnoses and treatment history and outcomes: None
Auxiliary tests: None
Other: None
Doctor's answer:
Hello: For female coital bleeding, the first step is to identify the cause. If the bleeding is due to local organic lesions of the female external genitalia, treating the local condition will also resolve the coital bleeding. For example, if coital bleeding is caused by conditions such as vulvar ulcers, eczema, or 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 the bleeding is caused by trichomoniasis, metronidazole should be used first to treat the trichomoniasis, and once the trichomoniasis is cured, the coital bleeding will naturally resolve.If coital bleeding is due to improper sexual practices, couples should learn about sexual health together, show mutual understanding and cooperation, and adopt appropriate sexual positions and methods. Women should relax mentally, avoid tension and depression, and eliminate unnecessary worries. Men should provide ample foreplay and affectionate attention to stimulate the woman's arousal. During coitus, movements should be gentle—avoid roughness and insertion into the vagina. Postmenopausal women may apply a suitable ointment to the vulva during intercourse to improve vaginal lubrication and prevent atrophy. Sexual activity should be appropriately moderated, and coitus is prohibited during menstruation. Women over 40 with coital bleeding should be vigilant about the possibility of malignant genital lesions.