Birth Control Forum - Bleeding during sex: related to BC or something else?

Womens Health > Birth Control Forum > Bleeding during sex: related to BC or something else?

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Q: Bleeding during sex: related to BC or something else?

asked by: DoctorQuestion on October 9th, 2006

Here's my bcp history in a nutshell...

Started on Ortho Tricyclen 4 years ago when I was 18. Did well with it, no problems. Took it for about 2 1/2 years.

My obgyn wanted me to try Ortho Lo when it came out. The whole year I was on it I would always bleed during sex (no pain) if the sex took place the week before my period. I told my obgyn about it and he switched me back to Trinessa (generic of Ortho Tricyclen).

In April of this year I asked him to switch me because I was becoming really depressed and crying easily and thought it could be due to the pill. He put me on Yasmin. I took it for the months of May and June. In June my "problem" came back and I bled during sex a week before my period.

I didn't want to deal with that bleeding again so I started taking Trinessa again in July. Then sex was ok sometimes and I only bled during sex once or twice during the switch.

I went to my doctor and he seems to still think it is hormone related. I've had two clear paps since the beginning of this problem. My dr. told me to continue on Trinessa and it should straighten out. I'm really just worried. Is it really hormones causing this? Do I just need a higher estrogen pill? Thanks for your help.

Replies(1)

Dr. Nikola Gjuzelov , MD

replied on October 16th, 2006

Birth Control Answer A1631

Bleeding during sex (contact bleeding) should be taken very seriously because it can be caused by a lesion on the cervix. You should visit your gynecologist when are experiencing the bleeding so s/he can locate the origin of such bleeding (vagina, cervix, and uterus). A vaginal examination, colposcopy, and Pap-test should also be performed to exclude any organic reason (lesion) for the contact bleeding. If there is no organic lesion on the genital organs, then you might consider a hormonal reason for bleeding. Hormones can cause bleeding, but such bleeding is not related to sexual contact. It doesn't seem that you will need pills with a bigger dose of estrogen because those pills have more side effects.

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