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Dry blood and vaginal wall deposits on sheets and after sex

Hi there, i'm 26 and have had only 1 sexual partner (but we are only sleeping together on a 'friends with benefit basis at the moment so it's not a regular thing). Recently during sex I've noticed dry smears of blood on the sheets and what looks like bits of my vagina canal wall. We use protection, but for the last few months I've stopped using the pill (as i'm not near my GP at the moment to get another supply). Also, for a few days after sex I get a brown discharge and slight itching, which then goes away within a week. Could the smears and bits of vanginal wall be due to my vagina being a little dry? Or could it be the condoms (i've heard women can be alleric to the rubber or spermicide) or could there be a further problem, of polyp etc? Please can you help, and suggest anything I can do other than visiting my GP (as i've stated i'm away from home at the moment and wont be able to get there till september)

Doctor's Response

Date:Jul / 2010

Thank you for your question.

Yours is an interesting story but with a relatively simple remedy.

When you say that you have noticed dry blood on the sheets, I am presuming that you have noticed this after the sexual act rather than during it. Are you sure that the blood is coming from you? It could be coming from your partner. Similarly, the reports of what looks like your vaginal wall seem a little bizarre. Are you experiencing pain during the act of intercourse? To have parts of the vaginal wall removed during the sexual act is almost unheard of.

You also wondered whether that during sex you suffered from vaginal dryness. Again this is rare for a 26 year old, but do you feel dry when aroused to have sex? Vaginal dryness also tends to lead to pain during intercourse, however most condoms do come with some lubrication which would help matters.

The question of bleeding which we shall assume comes from you is something that needs to be addressed. It could be due to a cervical polyp or could be caused by many other things; I trust you are up to date with your cervical smear tests.

The report of a brown discharge could be related to the cause of the bleeding, but coupled with the feeling of itchiness could be due to an allergy to the rubber of the condom; this is rare but does happen.

The simple answer is that you must be seen by a doctor, sooner rather than later. I understand that you are away from your usual family doctor but you can refer yourself to a nearby family planning clinic and they will see you. They will also let your own GP know about your visit, he/she will not be upset or annoyed by this.

Failing that you can register with a local GP as a temporary resident, this is done all the time. Alternatively, if there is no nearby family planning clinic, a genito-urinary medicine (GUM) clinic will equally be able to help you. I am not for one moment suggesting that you have a sexually transmitted disease, it’s just that these clinics are just as interested in your general and sexual health as a GP or a family planning clinic would be.

Thank you for using Thanks Doctor. I do hope this information is of use to you.
Yours faithfully,
The Thanks Doctor Team

Patient's Response

Date:Jul / 2010

I did assume that the bleeding was from me, as the aftermath was the brownish discharge and i assumed it was all part n parcle of the same problem. I experienced no unusual pain during the sex, however, I also have never actually reached a proper orgasm (I am aware that this is extremely common in women, and probably not related to this issue) but even though the sex is vigerous, I wouldnt say the problems lie with any cuts or vaginal tears. I guess I'll have to see if I can get to clinic I suppose, but due to my job at the moment, this is probably not going to be for a little while. The dried bits of wall i described, is very hard to explain - but the closest i can come to a description would be if your arm becomes really dirty and sweaty and then rub your hand vigerously over it and you get rolls of dead skin come away. Its like that but with dried blood. Tis very odd.

Accepted Answer

Date:Jul / 2010

Thank you for your question.

Yes, as you say, it's very odd, you may have a rare fungal infection that is giving you these symptoms.

I would still advise you to seek medical advice ASAP about this however. A lot of family planning clinics and GUM clinics have evening and weekend opening times to suit workers who cannot attend within normal "office hours" and these days family doctors are obliged to hold late surgeries until 8pm on particular days of the week. 

Failing this, you do have a "right" to seek medical attention within your working time (I don't know what your work is, but presumably they allow you to have meals, have coffee and go to the toilet) and whichever of the routes of medical access I have described will give you a certificate of attendance without having to disclose why you attended. After all, if you developed acute appendicitis and therefore required emergency surgery, your work would allow you to be admitted to hospital as an emergency!

Other than that, there is the private route if you happen to be working in a large town or city; private GP's will see patients late in the evening or at weekends, as will private gynaecologists. If your work is so demanding I presume your emolument will cover the fees; after all, your own health and well-being is far more important than any work.

I note your comment about not having achieved a "proper orgasm". As you say, this is common but can be easily overcome. A family planning clinic is the best place to attend, preferably with your partner if he is willing to attend with you. 

I do hope you are able to obtain appropriate medical attention soon, hopefully by the end of this week.

Thank you for using Thanks Doctor. I do hope this information is of use to you.
Yours faithfully,
The Thanks Doctor Team

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