I had sex and the condom broke. Why am I bleeding now? #316/15

Q         Why am I bleeding after my boyfriend and I had sex and the condom broke?            

A:        Have you been using any other type of birth control other than condoms?  If yes, what?  If not, you should get Plan B emergency contraceptive pills at once and take them; however, this must be done within 5 days following the broken condom.

During orgasm, the female experiences a series of muscular contractons in the outer third of the vagina.  The first contractions are four-fifths of a second apart.  Subsequent contractions are less intense and come at greater intervals.  The number of contractions may range from three to twelve.  The uterus also contracts rhythmically.Muscles of the neck, face and abdomen sometines contract severely enough to produce muscular aches the next day.  In a relatively mild orgasm, the woman’s introitus, labia minora, clitoral area and vaginal passage experience contractions.  In more very intense orgasms, all the voluntary muscles of the abdomen may contract.The series of “rhythmic contractions of the perineal muscles, uterus, and in some women, the lower third of the vagina” [Youngkin-1994, Women’s Health, P.62] may occur several times for a woman if she has several orgasms.  If there is already a small amount of blood in the uterus, contractions of the uterus may cause expulsion of this blood which may be experienced as a small amount of vaginal bleeding.  If a woman has a uterine fibriod just beneth the endometrium (uterine lining) if could bleed at the time of uterine contractions associated with orgasma.  And if a woman has a low-grade pelvic infection (endometriosis) then orgasms with uterine muscle contractions could lead to vaginal bleeding.  The same would be true for a woman with endometrial cancer or a polyp.

I usually encourage women and men who have experienced multiple breaks or slippages, to use 2 condoms instead of just one.  

To avoid friction, women have reported applying additional lubricant between the 2 condoms. [Albert – 1995]

male condom      male condom

Robert A. Hatcher MD, MPH

Emeritus Professor of Gynecology and Obstetrics

Emory University School of Medicine

Atlanta, GA

To learn more about the advantages and disadvantages of condoms, go to: www.managingcontraception.com.   You can order all of these books listed below from our website or by calling 404-875-5001. 

Key Words:  sex, condom, broke, bleeding, birth control, Plan B, emergency contraceptive pills, orgasms, contractions, uterus, vagina, intense, intervals, rhythmically, muscles, neck, face, abdomen, aches, introitus, labia minora, clitoral area, passage, perineal muscles, Women’s Health, blood, fibroids, endometriosis, uterine lining, pelvic infections, endometrial cancer, polyps, lubricant

Reference:

i Albert AE, Warner DL. Condom use among female commercial sex workers in Nevada’s legal brothels

American Journal of Public Health, Vol. 85, No. 11, November 1995

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