Patient :Hi, my girlfriend had sex with me 2 weeks ago as soon as we woke up. She has been bleeding everyday for a month since. I fear this could be linked to an STI. She currently has a coil and I know that can give problems.. What are your thoughts?
Thanks for the query to ATD for an opinion,
If the bleeding has started after you both having sex together and the coil has also been placed around that time, then there are two possibilities, one that she may have developed cervical erosions or vaginitis which can be the cause of bleed which is cervical in nature and not uterine. Secondly it is generally seen that irregular and prolonged spotting may occur in most women who have switched to coil IUD (MIRENA mostly as i think) recently and this bleeding can be controlled with antifibrinolytics easily. However if there is an accompanied infection then the spotting may be prolonged.
It is suggested that she should get a per speculum examination done to rule out cervical erosions and also a concomitant high vaginal swab for culture to rule out any infective cause which if found can be easily treated with antibiotic pessaries or oral medication. Your concern about an STI could be a possibility but considering that she has no foul smelling discharge, increased frequency of urine, low back ache, fever, abdominal pain, so in such case, STI seems unlikely.
So please visit a gynecologist for an examination and please follow up with reports.
I hope i have answered your query in detail,
Wishing you good health,
These Q&A’s are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.