Bleeding And Pain During Sex

 Dear Dr. Bibbi,

I sometimes feel pain and bleed during sexual intercourse. What might be the problem? My monthly period is not too regular. It does not come on time and when it comes, it does not flow normally and I sometimes see lumps of clotted blood coming out.Please advise me. I need your reply Thanks.
Tina Noi-Bas, Port Harcourt


Dear TNB,
You'll be careful to understand that all I say here is only an educated guess, since you definitely need to be examined properly after medical consultation and intervi
ew first. Especially since you bleed after sex and because it could be cancer. But here are some conditions the doctor would be thinking of while listening to you --as he plans to eliminate or confirm them in your case by appropriate tests. 1.Vaginal tears from 2. Rough sex; or 3. Overlarge male organ; 4.Are you a virgin just being disvirgined? 5.Do you have a bleeding disorder? 6.Or have used drugs that may make the blood over- thin--like Warfarin; or 7.Aspirin; or 8.Oral Contraceptives? Do you have 9.Vaginal Infection like thrush-- candidiasis? or 10. Chlamydia(an STD) or 11. Chronic Cervicitis or 12.Cervical Erosion? These are all apart from 13. Cancer of the cervix which we mentioned first.We will mention, last,14.Cervical polyp. All of these conditions and more remote ones could cause bleeding with sex. Pain with sex or Dyspareunia is usually caused by PID--Pelvic Inflammatory Disease or Endometriosis or some vulvitis or Vestibulitis or Vaginitis. Now from this long list, you'll agree with me that tracking down the cause of your problem cannot be taken for granted. Only as you find a good doctor/gynecologist and follow due process will you be able to diagnose and put an end to your potentially dangerous situation. Act fast. Call the helplines.
Cheers