Just to preface this, I am 22 years old and on the lowest level birth control.Back in December I was diagnosed with HPV, went to the gynecologist, got a coloscopy/biopsy and the 2 abnormal cells they found were not cancerous or precancerous. She said it was probably the changing of my cervix due to my body changing as I get older and that I was fine. Just 2 weeks ago when my bf and I were having intercourse I started bleeding. I have never bled during intercourse before. The blood was bright red like a period, but no pain and the bleeding stopped after a few minutes. So this week we had sex and I began to bleed again, no pain, bright red, bleeding only when I wiped and when I wiped the next morning I was still bleeding but very very lightly. I’m not due for a gyn visit until June (a 6month pap followup) what’s going on?
Once you’ve already been submitted to a colposcopy and your doctor told you that everything was fine, it’s unlikely that you have a serious cervical disease. Bleeding after intercourse may occur even without underlying problems. There are two causes that can explain your problem, the first being the most likely:
1) a friable cervix, meaning it’s prone to bleed when touched; this can occur spontaneously and hormonal birth control doesn’t help (but don’t stop having them!). Most usually it’s not associated with other symptoms such as pain or vaginal discharge.
2) genital infection – usually women also refer pain during intercourse and/or vaginal discharge.
First line treatment for 1) consists in vaginal preparations; in Europe, Nelex is an available solution – it eliminates damaged tissues and has haemostatic properties (meaning it can stop bleeding from the cervix). Should it fail to work, destructive treatments are available such as cryocoagulation / LASER vaporization of the cervix. However, in your case, spontaneous resolution is a possibility, since you lost a lesser amount of blood in your second time.
Treatment of 2) – genital infection – involves drugs to kill the responsible microorganisms (such as antibiotics or antifungal medications).
If discomfort becomes a major concern, you should consider an earlier reschedule of your next Gyn visit. Otherwise, you can address your concerns when the next visit occurs.