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Tender painful breast and bleeding after sex and use of I pill

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Hi, i am 32 female. Had a medical abortion in March 2013. Healthy with Menstrual cycle of approx 30 days. Last period on June 28th. Ended at 3rd July. Had sexual act on 3rd; 8th -12th July though with condom but was some without protection insertion too so cautious. 14th i had some weird sickness with Backpain. from 17th onward breast became tender and painful. After two days it become hard and too painful. Scared i started taking that 5 gm Vitamin C dose. 22nd i again had some intercourse and some bleeding happened during this time ( it had happened before too). had an ipill on 23rd. 25th did a home preg test came negative. i continued to be on Vitamin C. 27th it started bleeding - heavier than normal with clots. I stopped Vitamin dose. Bleeding completely vanished after 2 days ! now i am scared. Have never seen 2 days period , nor the breast tenderness etc.I generally have 5-6 days period. Any suggestion or shd i recheck if i am pregnant?

Category: Family Physician-GP

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Category: Infertility Specialist
 32 Doctors Online

Thanks for your query.
Firstly ,the altered bleeding was due to the I pill most probably, as it does cause some form of withdrawal bleeding or spotting.
THe i pill also generally interferes with your normal menstrual cycle, either preponing it or delaying it by a week, or sometimes upto 10 days.
So now the next date of your period would not be predictable.
You tested too early for the pregnancy.
Considering your last period ended on June 28th, I would ask you to retest for a pregnancy after a week.
IN case pregnancy is ruled out, you should still consult a gynecologist for the bleeding which happened following intercourse ( post coital bleeding ) and the breast tenderness.
I believe the breast tenderness you describe is mostly due to premenstrual symptoms or due to early pregnancy, however you need to be sure and have a physical examination.
Regarding post coital bleeding, causes could include a small cervical or endometrial polyp, or some such lesion on the cervix which bleeds on touch after intercourse.
It definitely requires a per speculum examination, a Pap smear, a colposcopy and any additional tests suggested by your gynecologist after examining you.
Hence, right now,
1. Continue with the Vitamin C
2. If you have sex, make sure it is completely protected
3. Take a pregnancy test after a week, that is somewhere around the 3 rd of July.
4. Schedule an appointment with a gynecologist meanwhile.

Take care, and please feel free to write back for more clarifications

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

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