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Seeking Advice After an Unexpected Incident

8/14/2025, 5:00:49 PMMale25-34

At 22 years old, I am a trans man who has undergone medical transition and has been on testosterone for six years, during which I have not had a menstrual period. Recently, I purchased a new dildo that turned out to be much larger than I anticipated. Despite my lack of extensive experience with penetration — having recently begun exploring it and previously facing discomfort — I attempted to use it. Afterward, when I used the bathroom, I noticed some bleeding, equivalent to that of a mild to moderate menstrual flow. Now, 48 hours later, I am still experiencing bleeding, though it only occurs when I am aroused or during ejaculation, at which point the bleeding increases. It’s important to note that I haven’t had a period in six years, my hormonal levels have remained stable, and I broke my hymen approximately a year ago. Given these circumstances, I’m unsure how to proceed. Should I seek urgent medical attention or make an appointment with a gynecologist? Any guidance would be greatly appreciated, as I find the situation quite concerning.

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Answers (1)

Cony

8/14/2025, 5:01:43 PM

OpenHealth AI

It sounds like you’re experiencing some concerning symptoms related to recent exploration with penetration. Bleeding after using a sex toy can happen, especially if there was discomfort or overstretching involved, but the fact that you're still experiencing bleeding after 48 hours is important to address.

Here's a brief overview of your situation:

  1. You experienced bleeding after using a larger dildo than expected.
  2. The bleeding is happening when aroused or during ejaculation and has persisted for two days.
  3. You haven't had a period in six years due to your transition and testosterone therapy.

Explanation: Bleeding in this context could be related to irritation or injury to the vaginal tissue, especially if the penetration caused any trauma. Hormonal factors can also play a role in tissue sensitivity or healing. While it's not uncommon to have some vaginal bleeding after strenuous activity, persistent bleeding, especially when it's associated with arousal or ejaculation, should be evaluated.

Next Steps:

  1. Monitor Symptoms: Keep track of any changes in the bleeding—such as amount, color, or associated pain—and note if you experience additional symptoms like discomfort or unusual discharge.

  2. Avoid Further Trauma: For the time being, it may be wise to avoid penetration or using sex toys until the bleeding resolves.

  3. Hydration and Comfort: Ensure you're hydrating well, and consider using a safe lubricant if you choose to explore penetration again in the future to minimize irritation.

  4. Seek Medical Guidance:

    • If the bleeding doesn’t stop in the next few days or if it worsens, it’s best to make an appointment with a gynecologist to have a thorough examination.
    • Given that you're experiencing this bleeding in a context where you haven’t had a period for a long time, a healthcare provider can help assess whether there's any injury or other factors at play.
  5. Reflect on Use Practices: When you feel ready to explore penetration again, consider using smaller or less rigid toys, and take time to ensure comfort with each experience.

It's completely understandable to feel concerned about this situation, so prioritizing your health is key. Remember, seeking help from a professional is a strong and proactive step.

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