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Light bleeding after intercourse
st1960 posted:
To start I will give you a little bit of history: I am 53 years old, was on the birth control pill for until I I had my 46 birthday. I was paranoid that I would become pregnant so I went back on the birth control pill. While I am taking the birth control pill, my menstruation stops. I went to my gyn after my 53rd birthday, and blood work was taken and my hormone levels came back with results indicating that I am "menopausal if not fully menopausal". I stopped taking the birth control pill. I have had no periods. My husband and I are sexually active and have not used any form of birth control since stopping the pill. I have noticed that on a few occasions that I notice a slight pink discharge after intercourse. I only notice the discharge immediately after intercourse. Is this something that I need to call my doctor about?
Mary Jane Minkin, MD responded:
Dear st1960,
You raise several good points. Your chances of becoming pregnant are extremely minimal. (My personal best has been delivering 3 47 year olds who didn't use IVF or any assisted reproductive technology; but particularly if you have had a high FSH, which is what I believe your doctor checked, pregnancy would be extremely unlikely-technically, one is supposed to say that you should have no periods for a year, besides, to say "no chance of pregnancy." However, any recurrent bleeding after intercourse needs some checking into. Are you dry? because vaginal dryness can certainly lead to bleeding, and is easily remedied. Also, are you up to date on pap smears? You could even have something like a small polyp in the cervix. So do let your health care provider know-
Good luck,
Mary Jane
st1960 replied to Mary Jane Minkin, MD's response:
Thank you doctor. I am up to date on my pap smears. My last was this past September when the doctor did the blood work. In the last 20 years of being on the birth control pill I had no periods whatsoever with the exception of when I went off the pill when I turned 46. The periods returned to normal. I went back on the pill when I turned 48 and again my periods ceased.
The bleeding that I had noticed after intercourse was only slight pink and it was only on the tissue. That was it. No spotting continued.
I do not have vaginal dryness at this time. I appreciate your advice and I will consult my doctor if you think I should.

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Mary Jane Minkin, MD, is a nationally recognized obstetrician gynecologist, with a special interest in menopause. Dr. Minkin is clinical professor of ...More

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