What causes abdominal pain and bleeding after intercourse?

Patient's question:

Several times during sexual intercourse with my husband, I felt lower abdominal pain and noticed a hard lump rising upwards. Afterward, there was vaginal bleeding and a yellow, watery discharge. Is this caused by the IUD? How can I prevent and treat this?

Doctor's answer:

Hello, female sexual intercourse bleeding, first of all, it is necessary to identify the cause of sexual intercourse bleeding. If sexual intercourse bleeding is caused by local organic lesions of the female external genitalia, curing the local lesion can also cure sexual intercourse bleeding. For example, sexual intercourse bleeding caused by vulvar ulcers, vulvar eczema, or vulvar herpes should be treated with antibiotics to eliminate inflammation first, and then cure the eczema and herpes, naturally curing sexual intercourse bleeding. If sexual intercourse bleeding is caused by vaginal trichomoniasis, metronidazole should be used to treat the trichomoniasis first. After the trichomoniasis is cured, sexual intercourse bleeding will naturally subside. If sexual intercourse bleeding is caused by improper sexual intercourse, then couples should learn sexual knowledge together, show mutual tenderness, fully cooperate, and adopt appropriate sexual methods and positions. Women should relax mentally, not be nervous or melancholic, and eliminate unnecessary concerns. Men should provide sufficient foreplay to women to stimulate their excitement. During sexual intercourse, actions should be gentle, and rough insertion should be avoided.

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