Q. What causes pain and bleeding during sex after partial hysterectomy?

Answered by
Dr. Suchada Chaiwechakarn
and medically reviewed by Dr. Divya Banu M
This is a premium question & answer published on Aug 22, 2019

Hello doctor,

I had a partial hysterectomy six years back while in prison. I spent 7 and a half years in prison and I had sexual intercourse for the first time one week ago, I had pain and bleeding and it was very painful. So, after three days I attempted to have sex again, this time it was a lot of bleeding with cramping painful orgasm, still have some pain.

Current medications: Lamotrigine 200 mg for mood disorders.



Welcome to

What was the indication for the partial hysterectomy? By the term partial hysterectomy, it means the uterus was removed but the cervix was left behind. If your cervix is still intact the reason you are bleeding now could be from several causes including infection, cervical dysplasia, fibroids or the bleeding could come from your vagina. You will need a pelvic examination to look for the site of bleeding. The bleeding could be from your bladder or hemorrhoid as well.

The Probable causes:

Cervicitis, vaginitis, fibroid, cervical dysplasia or cancer.

Investigations to be done:

Gene probe, vaginitis panel (Affirm), Pap smear if indicated, UA, urine culture.

Treatment plan:

Need pelvic examination, then some additional tests accordingly.

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