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What causes a clunking sound during intercourse, followed by bleeding?

By September 13, 2009 - 2:32pm
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I am in my mid 20's, have been on birth control for 10 years and am STD free, but I do have a tilted uterus. I have had my fair share of partners in a wide range of sizes, and in the past I have had problems with pain associated with having too large of a partner hitting my cervix. On three occasions several years ago, I have had a stabbing abdominal pain after sex that caused me to vomit and lose conciousness. The cause of these episodes were never figured out.
I don't think that this is the problem I am having now, as my current partner is average in size. The problem I am having is that in certain sexual positions (such as me on top), I can feel and hear a 'clunk' inside of me. My partner is also able to feel and hear it, and says he has never experienced that before. I do feel a very dull pain when this happens, but it hasn't been enough to make me worry. This doesn't happen every time, which makes me think it isn't related to his size or my 'petit' build.

Last night during intercourse, the 'clunk' was especially uncomfortable, and was also causing me to pass gas. After changing to a more comfortable position, The 'clunk' went away but I continued to have a dull soreness in my abdomen. This morning I awoke to some fresh blood (very red and thin, not the consistency of menstrual blood) and very uncomfortable cramps. The bleeding and cramps have continued throughout the day.
I am very worried about what this may be. I hope you will be able to provide me with an answer.

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Thank you for your question. Unfortunately, one of the things that comes with the territory of having a tilted or "tipped" uterus is pain during intercourse also known as dyspareunia. The reason why you sometimes may feel this pain is because your partner's penis is hitting your uterus (this may also be where the noise is coming from).

Even though you have had partner's larger in size than your current one, deep penetration actually depends less on the penis size and more on the sexual position. Positions such as woman on top and doggy style are positions that allow for the penis to go in deep enough to hit your urethra, bladder, or cervix- and it is not a pleasant feeling. In order for this to not interfere with your sex life, you may try suggesting that when you and your partner engage in these positions, he not go all the way in. The bleeding experienced after may have been caused by the trauma during sex.

I would suggest seeing your doctor about the pain and discomfort this is causing you to see what the treatment plan may be. Some physicians recommend surgery to correct the problem in those who experience extreme symptoms. Good Luck and I hope I answered your question.

September 13, 2009 - 5:31pm
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