instruction: i have a gynaecological issue my husband and I have not had intercourse for more than months a few days back when we tried to have one it hurt a lot and he withdrew he did not ejaculate inside the very next day I had a brown discharge and since then tiny blood clots ranging from red to brown have been surfacing along with light stomach cramps is this a sign of an internal injury my husband erection lasted a few seconds and he could not penetrate properly since I started to get hurt
output: hi hope you are doing well from the history that you have posted I believe that you may be suffering from a dry vagina due to some reasons were you experiencing pain during cycles previously how are your periods now interval and amount of bleed normal or reduced are you breast feeding have you ever gotten pap smear done sometimes dryness may be due to allergy and anti allergic medications that probably you could have taken due to pharyngitis its necessary to involve in enough foreplay before actual penetration it helps in stimulating your genital glands to provide proper lubrication for penetration normally the walls of the vagina stay lubricated with a thin layer of clear fluid the hormone estrogen helps maintain that fluid and keeps the lining of your vagina healthy thick and elastic a drop in estrogen levels reduces the amount of moisture available it can happen at any age from a number of different causes it may seem like a minor irritation but the lack of vaginal moisture can have a huge impact on your sex life fortunately several treatments are available to relieve vaginal dryness you can use my jelly locally in and around vagina before attempting intercourse an internal injury is unlikely but please follow up with a gynaecologist if pain or bleeding is severe to get an examination done please use tab doll 650 to ease off pain and hot water bag around lower abdomen during menses to avoid cramps and the jelly I prescribed above to help reduce discomfort during intercourse since menses are heavy your estrogen levels are not sufficient so no hormone supplements needed premenstrual syndrome manifests as severe cramps sometimes and since you do not plan to get pregnant as of you can consider taking contraceptive pills it will slowly reduce the excessive cramps and will make your bleeding volume moderate hope this helps