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A 18-year-old female asked:

poistcoital bleeding, no std, pelvic exam and pap smear are normal only bacterial vaginosis, i don't bleed on second rounds, what is the cause?

1 doctor answer3 doctors weighed in
Dr. Hunter Handsfield
Infectious Disease 53 years experience
Cervicitis?: Postcoital bleeding often means cervicitis, which often goes along with BV. Gonorrhea, chlamydia, and trichomonas are common causes, but most cervicitis has unknown causes. Ask your doctor if you have cervicitis; about the newer DNA test for trich (the older microscope exam and culture miss many cases); and maybe trying antibiotics. Anyway, keep working on it; the answer shouldn't be difficult.
Dr. Hunter Handsfield
Infectious Disease 53 years experience
Provided original answer
If you have already been prescribed metronidazole (Flagyl) for the BV, it probably would be OK to give that a try before further evaluation. Cervicities in the presence of BV may clear when BV is treated; and metronidazole also will clear trichomonas if you happen to have it.
Mar 14, 2015

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Last updated Jul 8, 2015

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