Bleeding : Bleeding after intercourse may be from a softened cervix or the tissue in the cervical lining (ectropion). Infections such as bacterial vaginosis, (bv), gonorrhea and chlamydia can do that too. While cervical dysplasia, (abnormal changes on the cervix due to hpv infection) can cause bleeding after intercourse as well, the current recommendation for women for pap smear or cervical cytology is age 21 so you do not need to have a pap till age 21. The reason is because young women tend to clear hpv infections and can avoid excessive treatment such as leeps (removal of a portion of the cervix) at an early age by waiting till age 21 before initiating testing. In any case do see an ob/gyn doctor for routine testing of the other infections mentioned. The results will likely be negative but at least it will put your mind at rest. If there is an infection, it can be treated quickly to avoid future complications with fertility (in the case of an infection such as chlamydia).
Answered 10/3/2016
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Bleeding : Bleeding after sex (postcoital bleeding) is common, and not likely to be cancer or anything too worrying at age 19, but you do need to see an ob/gyn to get an exam and get checked out. Bleeding can come from your cervix - cervical ectropion (bleeding from the inside lining of the cervix coming out to the outer part of the cervix), cervicitis - infection or inflammation of the cervix which may be due to infections such as chlamydia or gonorrhea, a polyp in the cervix (a soft tissue growth), or more rarely due to abnormal cells in the cervix - cervical dyplasia. Bleeding can also come from the inside of the uterus - due to hormonal birth control (the pill), infection of the lining of the uterus, polyps or fibroids inside the uterus, or due to pregnancy. See an ob/gyn for a physical exam, pap smear if you haven't had one in the last year, blood pregnancy test (just to be 100% safe) and std screening including a chlamydia test (recommended for women under 26 once a year). Don't worry too much - all the tests may be fine. Best wishes.
Answered 10/4/2016
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