Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Endometriosis and post-coital bleeding

Resolved Question:


I begun my period on the 9th of December 2013 and I had sex on my 4th day while I was still bleeding. I do not have sex very often, and we used a condom effectively. I finished my period normally, then a few days after finishing while masturbating I begun to bleed. This isn't unusual for me, as it is suspected I have endometriosis (very painful periods, almost debilitating pain, pain during masturbation and bleeding for a few days afterwards, fatigue). It's has been suspected i've had this for the past year even prior to me being sexually active, I am 17, however i've had no invasive procedures done to confirm it as I am still young. I am on no contraceptive pills either despite the doctor suggesting birth control to treat to endometriosis. I disregarded this bleeding and thought it would go away after a couple of days as it usually does, however it lasted for about a week, with standard period cramps sometimes however not as severe as my usual ones. The bleeding began as very dark and mucky and then progressively became heavier and more red. It ended as my normal period would. Now it is the 14th of January and my period still has not come, however I am receiving the usual signs that it will come (starting at the same time my second bleeding of December did). I don't have any other unusual symptoms. Just as a side not, my period has a history of being late; my cycle used to be 6 weeks, and then reduced to about 5, however it is still not so consistent with timing. I also often experience ovulatory spotting and this repetition of bleeding also occured once about 3 years ago. I also had been suffering from chronic BV during this period, however I was recently prescribed flagyl and the infection went away. I am just concerned as to why this happened, so any insight would be helpful.

Category: OBGYN

Ask Your Own Question

Category: Infertility Specialist
 30 Doctors Online

Thanks for writing to with your health concern.

As you have rightly surmised, most of your symptoms do tally with those of Endometriosis.

Now, without a laparoscopy, it is difficult to conclusively say this, unless something shows up in a pelvic ultrasound scan, which is not invasive, and often reveals stigmata of endometriosis. So why not get that done, by the way ?

Regarding the unusual bleeding that happened in the second week of December, I suspect that it is due to endometriosis indeed.

Endometriosis is characterized by irregular cycles too, and off and on spotting.
So the erratic period ( bleeding ) could have been due to endometriosis, and you anyways have a history of irregular cycles, so it does fit in. It could have been precipitated by the infection you said you have.If the pattern does not recur do not worry much.

If it does, then a polyp, or cervical erosion should be ruled out.
Taking hormonal medication for short term symptom control for your endometriosis is a good option, but it is your call.

Have a gynaecological evaluation if you have not had it in the past six months. An internal exam - per vaginum and per speculum and a pelvic ultrasound scan.

Stress, anxiety, hypothyroidism, weight gain, late nights, erratic diet and sleep, ingestion of medications that affect the hormonal axis - these are just some reasons that might cause irregular bleeding. Make sure they are ruled out too.

All the best. Please feel free to discuss further.

Dr. Aarti Vazirani
Category: Infertility Specialist
Residency: Obstetrics & Gynecolog, BJMC,Civil hospital, Ahmedabad, 2008
Post Graduate: MS (Obstetrics & Gynecology), B.J. Medical College, Ahmedabad, 2008
Medical School: MBBS, B.J. Medical College, Ahmedabad, 2004
Dr. Aarti Vazirani and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation



Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news