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Bleeding during sex

I'm a 29 yo black woman. I have a problem where I start bleeding during rear-entry sex. It's only if we go at it vigorously, and it never hurts. In act, we usually don't notice I'm bleeding until sex is done or if the bleeding is heavier than normal.

A few things:

- I'm on the pill (tri-sprintec) and this is much more likely to happen as I get in the later weeks of the pack. I rarely have a problem at the beginning of the month.
- This only happens during rear-entry sex or if he hits my cervix vigorously. I'm adequately aroused before we start.
- I have a history of HPV from several years ago, but my pap smears have been normal for at least 5 years now.
- I was tested for STDs during my last two gyno appts, and those came back entirely clean as well.
- My gyno cauterized a raw spot on my cervix a few years ago, but hasn't mentioned seeing another raw spot since then.
- I have a tilted uterus and a family history of endometriosis. I haven't had any significant signs of endo, but I do have at least one small fibroid.

I've been on the pill for about 9 years now, and read that the pill can cause cervical erosion (of which the symptoms seem to match mine). Could this be the cause of my bleeding? Or what are the likely other causes, since I don't have STDs and it appears that my body has cleared the HPV infection?

If it is cervical erosion, what is the treatment? Thanks!
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Avatar universal
Oops, sorry if I wasn't clear. By rear-entry sex, I meant "doggie-style," not anal. The bleeding is vaginal bleeding.
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Avatar universal
Er...well...considering that the anus wasn't designed by nature to handle the rigors of sex, its membrane is quite thin and can easily tear which would cause the bleeding; especially if you're "going at it vigorously" as you said above.

Perhaps you haven't noticed is because sex triggers the release of endorphins(sp?) which can off-set the possible pain from a tear in your anal cavity?

I honestly don't think an STD has anything to do with your anal bleeds (but take that with a grain of salt, seeing as how I"m no doctor) and it's just because you're not using enough lubrication.

But still; be careful. Having tears in your anus can help facilitate the contraction of most other STDs in the future if you have anal sex.

Be safe!
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