Concern Over Vaginal and Anal Bleeding
Hello, I feel a bit awkward sharing this, but I'm really anxious and could use some guidance. To provide some background, I’m a transgender man, and I began my testosterone therapy almost two months ago. A few weeks back, when I typically would have my period, it didn’t arrive. However, I experienced cramps and back pain, leading me to suspect my cycle might have just become irregular or ceased altogether. Recently, I went on vacation and may have consumed something that didn’t agree with me, resulting in severe diarrhea that persisted despite taking medication multiple times. After a week without being able to pleasure myself, when I returned home on Monday, I got a little carried away with a new dildo I had purchased. Afterward, when I went to the bathroom, I noticed blood when I wiped. Initially, I wasn’t too worried since I’ve experienced light bleeding in the past, although this had typically been minimal and often resolved by the following day. Now, it’s Thursday evening, and the bleeding continues. Furthermore, I’ve noticed that I’m also experiencing rectal bleeding. I'm uncertain whether it’s a steady flow or intermittent, but there’s consistently some degree of blood present, varying from light pink to bright red. This situation has left me quite perplexed. I attempted to use tampons, thinking my period might be resurfacing, but while they come out stained, it doesn’t seem to resemble my normal menstrual flow. The issue of rectal bleeding is particularly concerning, as I’ve never engaged in anal play before. I’m left wondering if it’s connected to the diarrhea I had. Initially, I couldn’t tell if the blood was solely from my vagina or also from my anus, but after cleaning properly, it’s clear that the bleeding is indeed occurring in both areas. Usually, my mother helps me with medical appointments and discussions since I find it challenging to communicate over the phone due to my autism, and as a minor, I haven’t yet taken charge of this process. I don’t want my mother to be aware of this situation, and I know I need to book the appointment myself, which is understandably daunting for me. The catch is that my mom is often around, and the clinic requires calling at 8 AM when she is likely to be awake and will hear everything I say. I’ve heard my doctors have an online platform for making appointments, but despite searching, I haven’t been successful in locating it. How serious might this condition be? What steps should I take, and how concerned should I really be? And please, I realize the need for caution with sex toys—this experience has certainly taught me a valuable lesson.
Answers (1)
7/24/2025, 11:31:04 PM
OpenHealth AI
It's understandable to feel anxious about these symptoms, especially given your recent experiences. The bleeding you're noticing from both the vaginal and anal areas, along with your other mentioned symptoms, warrant careful consideration. Here are the important points:
Main Points:
- Vaginal Bleeding: This could be related to hormonal changes from testosterone therapy or irritation from recent activity.
- Rectal Bleeding: This is concerning, particularly since you mentioned recent diarrhea and anal play, and may be due to irritation or injury.
- Action Needed: Due to the presence of bleeding in both areas, it’s important to seek medical attention to evaluate these symptoms appropriately.
Explanation:
- Vaginal Changes: With testosterone therapy, many transgender men may experience changes in their menstrual cycle, including missed periods or irregular bleeding. The cramps and back pain you’re experiencing could be related to this hormonal shift.
- Diarrhea and Anal Play: Severe diarrhea can lead to irritation and inflammation in the rectal area, making it more susceptible to bleeding. Engaging in anal play, especially for the first time, can also cause minor tears or irritation.
Next Steps:
- Monitor the Bleeding: Keep track of the amount and color of blood. If you notice heavy bleeding (soaking through a pad or requiring frequent changing), or if it’s accompanied by pain, dizziness, or other severe symptoms, it’s important to seek immediate medical help.
- Preparation for Appointment: Since you’re feeling overwhelmed about making an appointment, consider writing down what you need to say beforehand. You could also look for options to chat with your healthcare provider online, as many clinics have patient portals for making appointments.
- Discreet Communication: If privacy is a concern, you could reach out to the clinic outside typical hours or send a secure message via their communication portal if available. This way, you can express your need for an appointment without your mother overhearing.
- Aftercare: If bleeding continues, avoid any further anal play until you’ve been evaluated. Ensure you’re staying hydrated and consider eating soft, bland foods to help settle your digestive tract after experiencing diarrhea.
Support and Reassurance:
You're taking a brave step by wanting to address these symptoms, and it’s completely normal to feel apprehensive. Remember that healthcare professionals are there to help you without judgment. If you ever feel uncomfortable discussing this over the phone, you can ask to communicate via text or online, which might feel easier.
Please take these steps seriously and prioritize your health. You deserve the right support and care. If you have any more questions or need help with anything else, feel free to ask!
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