Gynecology / Women's Health Expert Forum
Perineal cuts
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Perineal cuts

i have been with my boyfriend for almost a year now. my boyfriend is quite large down there and it did take some time for me to get used to his size, so he was very gentle when we had sex. however there was one time when we had a little more rough sex than usual and i found myself bleeding. i did not realise where the bleeding was coming from untill i felt a stinging cut on my perineum so after this injury we took a little break from sex to allow me to heal. But having a little break did not help, it is like the cuts on my perineum keep on re-opening i whet to get some advice from a doctor at my clinic and she told me perhaps there is not enough lubrication down there but this is not problem because we always do enough foreplay and he also stimulates me orrally to make sure and yet i still bleed i really want to know wat is happening to my skin down there and why its not healing? its like me and him can never have rough sex anymore otherwise i will bleed also most of the time it is not even rough and i still bleed, please can someone tell me what is happening and because of this i am always having a fear everytime i have sex now
603463_tn?1220630455
Hi!
If you were my patient, I would evaluate you for a yeast infection.  These can by present even without a lot of discharge.  If you have excess yeast, it could be preventing the "cuts" from healing, or even causing them. It would be fairly easy for you to try one of the over the counter products for yeast, and see if it works.  I would prescribe an oral medication instead though, because of the possibility of a reaction to the vaginal medication.
IF you are on birth control pills, and have been for quite awhile, you might want to try a different method for 3-6 months.  Oral contraceptives work differently on the vulvar skin and can cause fissures and little lacerations if you have been on them for quite awhile.
These are some options to consider--hope something works out.
Good luck!
Dr B
2 Comments
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thankyou for your response how do you get tested for a yeast infection? you also mentioned viginal medication would there be two medications i would need to use? also i have been on the depo injection for about 3 years now could this be a reason for the problem?
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