Cervical ectropion and bleeding after sex

Hello! I am currently in a bit of a limbo and stuck at home worrying and self diagnosing which is obviously NEVER good. I have been having a problem with bleeding after sex and bleeding after smears for a while now. It doesn't happen all the time but does occasionally.

 The problem is that I have been very non sexually active for the past few years so I actually havent noticed it much. There was a while about 3 years ago where I was sexually active and I would have spotting after sex, and so I went and told my GP about it and got my smear done. He told me "not to worry" as the smear test came back normal. He said my cervix was "friable" and said that this was because some of the cells that should be inside the cervix were on the outside which made it bleed more easily. 

I took his advice to not worry about it, then I was very non sexually active and didn't really have any issues. I had my most recent smear done 3 monts ago and it came back normal and no HPV which is good. I did bleed a bit when getting it done, they didn't mention anything wrong though although the doctor (a different one) mentioned that it was quite easy to access the cervix wtith me (whatever the hell that means)

Then last week I had sex with my flatmate who I am in lock down with (great idea lol) and I had spotting for two days afterwards. 

I decided to actually google "cells outside the cervix" and found that this is cervical ectropion and can cause bleeding after sex and lots of discharge. 

I guess I just feel a bit powerless, like...I am slightly worried that I am bleeding after sex and would like to go back to my GP and ask them about this, maybe ask for a colposcopy just to double check that there isn't anything more severe going on. Obviously I can't do this right now because of the lock down, so I just feel pretty anxious. I know that my smear came back normal but I just keep thinking of all the cases I have heard of CIN where peoples smears are normal.

I also just feel really weird about the fact that my doctor was so casual about the cervical ectropion and the bleeding after sex and didn't really explain it to me properly leaving me to my own devices and googling...I mean everything I have read show that it isn't that serious a condition in itself but considering it mimics other more serious things then it is really unsettling. Plus it just makes me feel kind scared to become sexually active again because I don't wanna just be spotting all the time.

I hate it when things go wrong with your body at a time like this when you can't just have everything checked out with a GP. Sorry to post here,  I understand that others have much more severe probems right now. I was just wondering if anyone else had any similar experiences with etropion.

 

  • Hi Dr Google is a very bad idea, he frightens the liffe out of me for no reason.

    It won't hurt to contact GP, they still speak to people despite corona and you could get reassurance regarding what you have experienced since you were last checked.

    Please let us know how it goes

    x

  • Hiya I've been having the same issue, since having my baby 10 months ago and get alot of bleeding after sex, I also had a smear and a few other swaps done that all came back clear, and have been referred to another specialist (cant remember the name of it) but it's worth a call to your gp, most gp are doing telephone appointments now so I wouldn't worry to much about going in, if you do they will provide you with masks xx

  • A cervica ectropion is not cancer. That's why my gp has said. 
    this is easily fixed with surgery. 
    I am currently waiting for this surgery. 
    I also have bleeding after sex it's awful that I cannot be intimate with my partner as often as I'd like but I must be healthy myself 

  • I've been having the same issues and and feeling the same as you for almost three years. Not sure how active this thread still is but hoped I might be able to help someone else feel they are not going mad.

    I went on the mini pill in 2016 after having to have my coil removed because of an ovarian abcess. It didn't suit me so eventually I came off all contraception and my husband had a vasectomy (my hero!)

    While on the pill I had a bit of spotting after sex but thought it was the pill causing it. Then came off and it got worse so went to gp.  Eventually referred to consultant and I was diagnosised with polyps and ectropion.

    Consultant removed polyps and did biopsy as I was an emotional wreck at this point and all came back clear. Also had smear that was clear.

    The ectropion has never gone away though and I've been back to the doctor but just been told again it's ectropion. Then I started mid cycle bleeding and they worked out that was likely ovulation spotting. 

    Eventually my tactic has become only having sex during my period so I can't tell if I'm bleeding and avoiding it the rest of the month. Occasionally I can't put up with that and have sex outside of my period, I bleed, get upset, swear not to do it again and avoid sex for a couple of months. As you can imagine, this is totally miserable.

    But all this to say I feel exactly the same as you. Trying to be logical that its ectropion as my biopsies and smears were clear but worrying over why it's not going away. Whenever I'm not sexually active it's not an issue but as soon as I am then there's blood. And then there's the torturing yourself over what all this means and the doctors not giving any further help other than saying 'it's ectropion'

    I think I'm going to have to go back again as it's messing so badly with my mental health and my sex life, not to mention my marriage, but I don't hold out much hope that anything more will or can be done. But at least I can say to someone else that you're not alone! 

  • I'm in a similar sort of situation as yourself and had a bit of an ordeal trying to get it sorted. After years of asking my GP for a referral to gynaecology, its finally taken an abnormal smear result to get one. Its in 2 weeks and to say I'm nervous would be an understatement. I've had bleeding during sex for around 5 years, it started off mild, light spotting once in a while, sometimes wouldn't happen for several months. My smear test and swabs were both normal and I was told I had a spot of erosion, nothing to worry about. But over time it has gotten worse and worse, to the point that it's every time we even attempt sex, and there's now quite a lot of blood, like what you would expect on a heavy period day. I moved house and changed gp practice during this time. The new doctor has been completely uninterested and so I had to wait for my next smear which I got in april, which had been delayed due to covid.

    A nurse called me the day before my smear to do my pre smear questionnaire. I explained to her my situation and how long it had been going on for, as well as other symptoms I have had for as long as I've had periods (ill get to that in a minute) and she said that she would request that the Dr refer me to colposcopy to have the erosion lasered off and investigate further. The following day when I went to my appointment, the nurse (not the same one) said that the Dr did not wish to refer me and instead requested swabs as she was convinced I must have an sti (had already done several swabs, and have been with the same partner for 7 years so was getting rather annoyed by this point) so when I was leaving I asked for an app with the doctor to discuss why I felt like I really needed the referral.

    The following week the doctor calls and asked what the issue was, and I asked her if it was possible that I may have endometriosis. She told me that she really "doesn't have the time for this" and said to call back in 4 weeks as my results would be in by then. So 4 weeks later I called, and the receptionist told me that my results were satisfactory, the Dr did not wish to see me nor refer me, and that no further action was needed. Which as you can imagine, left me feeling pretty infuriated as well as helpless. But here's the real kicker...

    2 days after I get my results over the phone, I receive a letter. Saying that changes had been found to the cells of my cervix and that I would receive an appointment date from the colposcopy clinic in a few days. The appointment came in a few days later (6 weeks ago) and I've been torturing myself ever since.

    I have asked the gp several times over the last 8 years about endometriosis and just get fobbed off everytime. Constantly blaming my contraception. Im now at the point where I'm refusing to go back on the pill until I get some answers. Ive had a lot of symptoms of endometriosis for as long as I've had periods. But over these last 3 years they've gotten worse. I have been researching both endometriosis and bleeding during sex a lot these past few months seeing as I can't get a gp to speak to me about it, and I found a lot of information on how endometriosis causes bleeding during sex, and it is actually one of the most common symptoms of endometriosis. I never thought the two could be related. I've always thought I had endo because of the bowel issues I have that seem to go along side my menstrual cycle, and the fact my hips and legs hurt so bad before and during my period. I've also for the past year been experiencing violent sickness during my period, not to mention the migraines.

    Sorry to waffle on, I just wanted to explain properly and just say that if you are experiencing any of these other symptoms that I have, it might be worth a king ur gynaecologist about endometriosis too.

    I hope you get it all sorted out soon ️ ️

  • Hi just wondering how you are getting on? Did you have the colposcopy? Hope all is well xx

  • Hi, thank you for asking. I received some quite bad news just a few days ago, so your reply is well timed. I had the colposcopy last July, and was told everything was fine, minor cell changes only. Then after a few weeks of arguing with my GP I finally got a referral to gynaecology. So I waited and waited for an appointment that never came.

    In January one evening, I went to the toilet for a wee, and when I stood up I started pouring blood completely out of nowhere with no warning. It lasted a few minutes then seemed to get under control... Until the next time I went to the toilet, it happened again. I called the GP the following morning and she called me back later in the day and when I told her what had happened she arranged for me to have an ultrasound at a local hospital. The ultrasound showed an area around my cervix that didn't look normal measuring 32 x 34mm and I got referred back to colposcopy.

    During my colposcopy, the gynaecologist initially said everything looked normal and healthy and said he'd just do a smear. Then after the smear he said there was an area that wouldn't stop bleeding so he was going to biopsy it. But when he finished he said he'd also done treatment to an area. My biopsies came back a week later and he asked to see me in person that day (last Thursday) They were positive for cancer. He said I'll now be referred for an MRI and that I'll be seeing another gynaecology oncologist at another hospital from now on. He said he doesnt know what treatment I'll be offered but that I'll likely need a hysterectomy. But that he may have also gotten it all out. So not sure what to think. Now I've just to wait for the other hospital to get in touch.

    He said from a colposcopy perspective, that you don't go from minor cell changes to cancer in 6 months. It just doesn't happen. When I asked how it could have been missed at my last colposcopy he got rather defensive and said it couldn't have been. So I really don't know what to make of that at all. It's got me worrying that it may have spread from somewhere else. I know my ovaries and uterus/endometrium are fine as I was told that at my ultrasound.

    I've been so ill for such a long time, it's got me thinking the worst. I'm only 32 and have no kids. I never thought I wanted any, but being told I'll likely never be able to have has hit a bit different.

    Sorry its a lot to read I know. It's good to get it out though. X

  • Hi Dre138

    I just wondered how you were getting on? Your story really resonated with me and I have had a similar situation. (bleeding 5 years during sex, smears etc). I was put on an urgent list to see the gynecologist (supposed to be 2 weeks, and that was back in early Feb :-() I keep thinking that something was missed on my colposcopy around 18 months ago. I had a smear on Tuesday, barely felt a thing and the nurse was lovely and efficient. She said the usual 'oh you might get a bit of spotting etc'. Well... I hadn't even left the surgery and felt myself flooding... by the time I got home I had to get in the shower. I am still bleeding now, although it has calmed down. I am antipicating negative results from the smear, but i know there is something wrong with my cervix. The blood during intercourse is a lot. I also spot regulary after exercise. I really felt for you when I read your story. I was also angry when you said the doctor was defensive saying you can't go from ok to not ok between appointments... fuming for you. Obviously there was neglect on someones part. How are you feeling now? Did you have your treatment? Makes me worry that these things get missed, and then I get anxious that I have been forgotten or lost in the system... 

  • I'm so sorry to hear off how you've been treated, I'm discussed by the lack of care and concern you received medical professionals and I hope you are doing better now 

    I've Cervical polyps and ectropion, postmenopausal painful sex and light bleeding. GP was mistaken about  a prolapse but at least she had no problems in referring me and I've been able to get a private appointment 

     I hope any woman suffeng as you have makes a complaint because this is negligence and those who neglect your suffering should be held accountable