Does having intercourse while on warfarin cause hemorrhage?

Question

Hello doctor,

I am taking warfarin, and my INR is 2.8. I am a woman, and I am a virgin, I never had complete sexual intercourse involving penetration. My question is if I have my first complete sexual intercourse and lose my virginity while on warfarin, could it be dangerous and cause a hemorrhage?

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Usually for thrombotic events, a warfarin-like anticoagulant drug is prescribed with INR monitoring. Duration of therapy can be up to six months (only if there is a high risk of thrombosis; then lifelong anticoagulant is given). So for these six months while on warfarin, you can delay intercourse if possible.

The risk of bleeding depends on the following factors that are based on clinical correlation.

1. Smoking history.

2. Abnormal liver function and renal function.

3. CBC (for detecting anemia).

4. History of bleeding and stroke.

5. Recent Myocardial infarction.

6. Old age (greater than 65 years).

INR monitoring is regularly needed for not crossing INR (international normalized ratio) above three. Consult a physician for examination and clinical correlation for assessment of risk bleeding.

I hope the information helps.

Kindly revert so I can assist you further.

Thank you.