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After rough sex, I have been bleeding and spotting some. Is this normal or should I be concerned? #922/9

What does it mean if I bleed slightly after a guy has finger banged me and I have a Mirena inside me?  I have had the IUD for 3 years now and this incident has never happened to me before.  Now I am experiencing cramps off and on, but no more blood shows.

 

Please inform me if I should get myself checked by an Ob/Gyn right away.  I also noticed that right now I can’t seem to find the string but maybe I’ll look again later.

 

Thanks for your time.



When the uterus contracts after a vigorous orgasm or after several orgasms, there may be some cramping and some vaginal spotting or bleeding.

 

Was this particularly long…how many minutes was this?  Has the cramping stopped now?  Have you been able to feel the strings of your IUD?  Is there anything else going on that you want to tell me about this?

 

 If you answer these questions, I may be able to give you a more complete answer.

 

Her reply on 9-23:Hello Dr. Hatcher, thanks for your reply and touching base with me right away!”

 

“The outercourse a little rough; it almost felt like it was jamming towards my uterus, as if it was hitting the Mirena!! I knew the way he was doing it, that I was going to bleed. I had a feeling that would happen, because it was a little painful and I kept telling him to ease up or slow down but I guess he was too caught up in the moment. This happened off and on for exactly 20 minutes or so (maybe little less than that), but it felt about that long (for the outercourse that is). I slept it off after taking a shower. I still slightly bled, but when I woke up it was fading away.”

 

“I was able to feel my string an hour ago, but it feels like it is way up there (like I was able to just rub onto the tips the string) but I had to really reach all the way up there, and it was slightly out of the area where it’s located. But that was all, I don't have any more cramping. I just wanted to know if that was at all bad that I bled like that because I have never experienced that before. I have never experienced that kind of cramping, unless I am getting my menstrual period. Other than that, it was nothing else too serious. I just panicked and needed to know how I can handle this or how normal or abnormal this was.”

 

“Thanks again and please contact me soon.”
 

Just one suggestion; everything done at the time of intercourse should NOT be painful.  In the future communicate with him about what is not pleasant, pleasurable, and fun. Tell him to stop what is painful, uncomfortable, unpleasant or harmful to you.

  

Key Words:  Mirena IUD, bleeding, painful, cramps, string, uterus, orgasm, vaginal spotting, intercourse, menstrual cycle, pleasant, pleasurable, harmful


Posted 10-1-2009, Updated 10-9-2009, Updated 10-15-2009 

Robert A. Hatcher MD, MPH
Professor of Gynecology and Obstetrics
Emory University School of Medicine
Atlanta, GA
---2009-10-15


A Pocket Guide to Managing Contraception ISBN 978-0-9794395-0-6 #8005
  


Contraceptive Technology 19th Edition ISBN 9781597080019 #7019
  

The directors and owners of this website and any publications and information concerning health matters offered here advise a person with a particular problem to consult a primary-care clinician or a specialist in obstetrics, gynecology, or urology (depending on the problem or the contraceptive) as well as the product package insert and other references before diagnosing, managing, or treating the problem.
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