An examination by a trusted gynecologist should determine whether or not your abnormal bleeding is due to trauma or a need for stronger BCPs.
Answered 11/30/2021
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I agree with Dr Lanover that you need to be examined. With the history of a change in your bleeding occurring after what you describe as "rough sex" I am more suspicious of it being due to trauma. But more history and an exam are essential to answer your question
Answered 12/2/2021
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