Intermenstrual & Postcoital Bleeding – Patients

Understanding Intermenstrual and Postcoital Bleeding

If you are a young woman experiencing bleeding between periods (intermenstrual bleeding) or bleeding after sex (postcoital bleeding), it is important to speak with your doctor. While these symptoms may be due to minor causes, they can also be signs of underlying health conditions that require medical attention.

Why Is It Important to Investigate?

1. To Rule Out Cervical Cancer or Pre-cancer

Cervical cancer or precancerous changes (like cervical intraepithelial neoplasia) can cause bleeding, especially in women who have not had regular Pap smears or HPV screening. Early detection can lead to effective treatment.

2. To Detect Infections

Sexually transmitted infections (STIs), such as chlamydia and gonorrhea, can cause inflammation of the cervix (cervicitis), leading to bleeding. If left untreated, these infections can lead to pelvic inflammatory disease and affect fertility.

3. To Identify Benign Conditions

Cervical polyps or a condition called cervical ectropion (common in women on the pill) can cause bleeding. These are usually harmless but should still be checked and monitored.

4. To Check for Hormonal Imbalances

Hormonal problems such as those caused by polycystic ovary syndrome (PCOS) can lead to irregular bleeding due to issues with ovulation.

5. To Rule Out Uterine or Endometrial Abnormalities

Though rare in young women, growths like polyps or fibroids in the uterus can cause unusual bleeding.

6. For Reassurance and Health Education

Understanding the cause of your symptoms can provide peace of mind. This is also a good opportunity to learn about safe sex practices, HPV vaccination, and the importance of regular health screenings.

What Tests Might Be Needed?

Your doctor may recommend the following tests based on your symptoms and examination findings:

  • Pelvic examination (speculum and bimanual)
  • Pap smear and HPV test
  • STI screening (e.g., chlamydia, gonorrhea)
  • Pelvic ultrasound
  • Hormonal blood tests if periods are irregular
  • Referral to a gynecologist if bleeding persists or cause is unclear

Remember, abnormal bleeding is not something to ignore. Early evaluation helps ensure timely treatment and protects your reproductive health.

 

Dr Sharad ObGynae
+6010 7778901