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Q. I got light bleeding the day after intercourse. Why?

Answered by
Dr. Raveendran S. R
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 25, 2021

Hi doctor,

I got light bleeding the day after intercourse. Do I need to consult my general physician?

I had an STI test, and it was negative, and we had protected sex.

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#

Hi,

Welcome to icliniq.com.

I can understand your concern.

1. Infection in the vagina can cause bleeding by itself or lead to dryness and cause bleeding after sex.

2. Hymen break can cause bleeding for a few if it is first-time sex.

3. Allergic to semen (use a condom to identify).

4. Dryness – infection, improper foreplay, dehydration, age factor, hormonal imbalance.

5. Forceful sex.

6. Normal menstrual bleeding (you may have an early period).

7. Deep penetration in a few positions during sex.

You can use tablet Pause 500 (Tranexamic acid) if there is severe bleeding and meet a general physician. If it is mild bleeding, you need not worry. If there is pain you can use tablet Zerodol P (Aceclofenac and Paracetamol).

Hello doctor,

Thanks, I am on the medication Spironolactone. Could this cause it?

#

Hi,

Welcome back to icliniq.com.

No, Spironolactone will not cause bleeding.

If you can tell me why you are using Spironolactone, we can think of the cause.

Kidney-related or liver-related or add-on for hypertension?

Hello doctor,

It is just for acne. Could the medication cause dehydration? Could that cause it?

I have a bit of yellowish discoloration in the area around my eye after starting the medication, but it is not very noticeable.

#

Hi,

Welcome back to icliniq.com.

Yes, it can be used for acne. It works by reducing the male hormone and reducing acne. But primarily, it works to increase urination which can cause dehydration. Dehydration can cause a dry vagina, which leads to bleeding.

Yellow sclera can be liver-related. You can do a liver function test to know the cause. Also, check if urine is yellow.

If yes, a liver function test and urine complete is a must.


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