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friable cervix, bleeding during sex, long periods, normal pap smears

HI! I have been having a problem of bleeding during intercourse for almost 2 years now. I have been to 3 OB-GYN. The first one did a pap smear and tests for Chlamydia and Gonorrhea, and all came out normal. But since there were WBCs in my result, she gave me antibiotics. This somehow lessened the bleeding, but it kept on recurring. There was a time, she didnt know what to do, and thought that I might have been allergic to the condom we were using. And so she shifted me to contraceptive pills. But it still occurred. Just recently, I went to another OB-GYN, and she diagnosed me with "friable cervix". SHe treated my cervix with silver nitrate, and although it helped a bit (i didn't have bleeding for one month, during intercourse), it came back. There would also be times my period would come earlier whenever I'd have intercourse. The bleeding would occur during intercourse, wouldn't stop, and would lead to my prolonged menstrual period. Also, my husband and I have been trying to conceive a child for almost 5 months now, and I feel like that this friable cervix is the reason why we are having a problem getting pregnant.
1. What can be the cause of my friable cervix? I've had 2 normal pap smears within the past year and a half, already. What further work-up should I ask my doctor to do?
2. Can this friable cervix be the cause of our difficulty to get pregnant, given that my pap smears have been normal in the past?
Thanks. I hope someone answers my question, since I have been so frustrated with this condition of mine.
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Avatar universal
My gynecologist has prescribed an estrogen cream which is applied vaginally. Estrogen depletion can be a cause for a friable cervix (thinning of the skin on the cervix) so adding back estrogen via a cream can help. Ensure you've had a pap to rule out other issues. Due to fibroids I've been on low dose estrogen pill plus progestin to eliminate my periods. My dr believes the low dose estrogen pill is what might be causing the thinning of the cervical skin which then is prone to bleeding. This all seems reasonable and logical so I'll be trying the estrogen cream (Estrace). You're not alone.
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My doctor prescribed this for me and im 32 and worried. I am not on any birth control or anything...but I've been having cervicitis on and off for 2 years with no bacterial cause. All they find in my discharge is "normal flora" yet my cervix is inflamed and i have lots of wbc. Did this work for you?
Avatar universal
It is very comforting knowing that other women are experiencing this problem also. I don't wish it upon anyone, but I felt very alone before I read all of these posts. I am thankful and glad to say that a friable cervix is all that is it. Googling "bleeding during sex" DID NOT help!! I was worried for 5 days over this.. praying that is wasnt cancer or anything else. My grandmother (my mother's mom) died from uterine cancer and my aunt (my mother's sister) had it in her fallopian tubes, but fought it, luckily. Having the history in my family made me more of a wreck. I am 28 years old and have never had bleeding during sex with any of my partners I have been with in the past. I did however have light spotting throughout my cycle in my past when I was on the pill. Once I got off, the spotting stopped and it was never during sex anyway. I am NOT currently on the pill and haven't been since a year and a half ago. In April I started dating a new guy (who by the way is well-endowed, unlike my ex-boyfriend) and I started bleeding during sex. It started out as light bleeding, but then would get heavy every so often. I NEVER experience pain with the bleeding and it goes away right after. I saw the gyno in June and he told me I had an inflamed cervix and prescribed me some cream. I used the cream and it didn't seem to work. I called the doc office and the nurses told me I needed to give it time to heal. I really didn't listen because my boyfriend works out of town during the week so when he is in we want to fool around. My annual was last Thursday, Sept. 5th and the doctor took a biopsy along with my pap after telling him I am still having issues. I explained to him the previous weekend I bled heavy during sex the one day then two days later we had sex again and it was barely there! I finally got the results today.. NO cancer, NO STD's and NO infections.. I was informed that I have a sensitive or friable cervix. I am going in to see him within the next few weeks to talk about options. I am so glad I got to read a lot of the options I have that many of you have gone through. I am thinking that some of the options are not worth it, but then again the bleeding gives me such anxiety. It is very frustrating and I feel like it ruins my sex life some days. I feel like crying every time I bleed heavily.. luckily I have a supportive boyfriend who is understanding.. but in a way I am sure it gets frustrating for him too. When I barely bleed we high five and celebrate! Haha.. Since I am not on the pill we use condoms and in a way I am tempted to try a different kind to see if that makes a difference. I am interested to see what options my doctor is going to give me. I hope I find some resolution to this problem as I hope all of you do!! I am just so so so thankful it is not something worse..
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5754982 tn?1373651412
i feel the same way how do explain to a new partner Oh hey my vagina bleeds when i have sex makes u want to just distance yourself.. i too have a friable cervix. it was caused from vaginal trauma when i was touched at a young age. we should deff do research
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Avatar universal
For the last five to six years ive been having the same issues.In the latter part of last yeae i started going to the dr. She told me i had an unusual sore on my cervix an scheduled me for a leep procedure with another obgyn.when i met with the new doc,she put the silver nitrate on the sore on my cervix and told me to wait at least 3 days. I did an for about a week,it worked.after the silver nitrate,she did an electrolyte procedure with a small chrome ball an kinda made the sore into a scalp. Needless to say,it didn't work either.she applied the silver nitrate again an told me to wait a week until sex,i did,an still it didn't work.now im scheduled to for cryotherapy in a few weeks.so hopefully this will fix the bleeding during sex.im just not thrilled about the healing process. An if that doesn't work,then there is a thing called the leep procedure.which was very last on my option list.
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Avatar universal
Mine sounds the same as others here. Here's mine, what I've learned and what we're doing about it:

I'm 28, married. I began bleeding with intercourse in late 2009 (married in 2007). Previously that year, I'd tried the Diva Cup as a method of protection while hiking. I don't wear tampons, because they are uncomfortable.
I've seen several OBGYNs since this issue began. I've had a colposcopy, blood tests, PAP smears and an ultrasound done. Except for HPV dysplasia 1, which was mild and has not shown up on the follow-up HPV test, the doctors are saying nothing is functionally wrong. I'm otherwise and always have been STD-free.
But intercourse is painful. Sometimes it feels like I get papercuts. Almost every time after sex, I have abdominal pain.
My husband deployed overseas for a year, and I saw him at about 6 months for two weeks. The pain was the most excruciating after the two long several-month breaks. I don't have outer pain, but sometimes the entire canal hurts. Sometimes it doesn't hurt at all. Bleeding doesn't happen every time, either, depending on position, level of penetration, and maybe amount of lubrication/arousal/tension.
I've been treated for "bacterial vaginosis" and "yeast infections" several times, with doxycycline and other antibiotics. This doesn't help. Perhaps because I don't think I've ever had either, as they didn't come back as such from tests—the doctors were guessing. I've begun refusing the antibiotics because they are the same I've been treated with before and I'm concerned about becoming an incubator for antibiotic resistance or harming my own body's flora. If the doctor wants to throw more antibiotics at it, they need to do a culture first.
I've been diagnosed with a friable cervix. My OBGYN called it something like "endometrian" -- it's where the vessels that are usually on the inside of the cervix are turned outward. PAP smears have always been painful (with pain and spotting lasting for up to two days following) since I was 19 and had my first one, which was 10 years ago, but sex has been enjoyable and not painful at all until four years ago. I've been on b/c for at least 7 years. My previous OBGYN switched me from phasic (ortho tri-cyclin) to non-phasic (zenchent) to try to address the bleeding, but no dice. My periods have always been mild and non-painful with little cramping, but recently I've been cramping more. I've noticed the pain intensifies when I get upset or stressed out, so when that happens, I ask for a hug, or I just stop what I'm doing and relax.
I'm seeing a therapist. She's got me doing the child's pose, the cat-camel and breathing/relaxing exercises. It's helping, as is increasing communication with my husband.
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Avatar universal
I am still bleeding. I was tested over a year ago for HPV, came back with dysplasia 1. Tested negative last fall. Symptoms are still the same, like Sweetiechip's.
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