{"id":657542,"date":"2014-07-10T00:00:00","date_gmt":"2014-07-10T00:00:00","guid":{"rendered":"https:\/\/stg-hemmetsjournal-stage.kinsta.cloud\/hemmetsjournal\/artiklar\/experterna\/20140709\/vad-beror-blodning-efter-samlag-pa\/"},"modified":"2016-05-15T16:58:31","modified_gmt":"2016-05-15T16:58:31","slug":"vad-beror-blodning-efter-samlag-pa","status":"publish","type":"post","link":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/artiklar\/experterna\/20140710\/vad-beror-blodning-efter-samlag-pa\/","title":{"rendered":"Vad beror bl\u00f6dning efter samlag p\u00e5?"},"content":{"rendered":"<div>\n<div>\n<p>Jag \u00e4r en kvinna p\u00e5 44 \u00e5r med tre barn. Har haft kopparspiral i tio \u00e5r utan problem. D\u00e4refter har jag f\u00e5tt en ny kopparspiral som ska fungera i fem \u00e5r. I h\u00f6stas b\u00f6rjade jag f\u00e5 bl\u00f6dningar efter samlag. Bara lite och bara ibland. Nu har det trappats upp s\u00e5 att jag f\u00e5r mer bl\u00f6dning och n\u00e4stan varje g\u00e5ng. Detta g\u00f6r mig orolig. Har ocks\u00e5 lite flytningar s\u00e5 jag \u00e4r tvungen att ha trosskydd.<\/p>\n<p>&nbsp;<\/p>\n<p>Jag har varit hos gynekolog och l\u00e4mnat prov b\u00e5de i h\u00f6st och nyligen (v\u00e4ntar just nu svar p\u00e5 det).<\/p>\n<\/p><\/div>\n<\/div>\n<div><strong>Gynekolog Kristina Billberg svarar:<\/strong><\/p>\n<div>\n<p>Den vanligaste orsaken till bl\u00f6dningar efter samlag \u00e4r en infektion av livmodertappen med antingen klamydia\/mycoplasma genitalium eller HPV (humant papillom virus). Livmodertappen blir d\u00e5 inflammerad och l\u00e4ttbl\u00f6dande. N\u00e4r din man st\u00f6ter mot livmodertappen i samband med samlag b\u00f6rjar det bl\u00f6da.<\/p>\n<p>&nbsp;<\/p>\n<p>Jag f\u00f6ruts\u00e4tter att din gynekolog kontrollerat dig f\u00f6r klamydia\/mycoplasma. Jag f\u00f6ruts\u00e4tter ocks\u00e5 att din gynekolog har gjort ett vaginalt ultraljud och kontrollerat s\u00e5 att spiralen sitter r\u00e4tt, att livmoderslemhinnan inte blivit tjock och att du inte har n\u00e5gra cystor p\u00e5 \u00e4ggstockarna.<\/p>\n<p>&nbsp;<\/p>\n<p>Vad betr\u00e4ffar HPV brukar man i f\u00f6rsta hand ta ett cellprov och det \u00e4r bara om man har cellf\u00f6r\u00e4ndringar som man testar f\u00f6r HPV. De flesta HPV-typer ger bara just en inflammation av livmodertappen, bl\u00f6dningar och flytningar samt eventuellt ofarliga cellf\u00f6r\u00e4ndringar. Infektionen l\u00e4ker oftast ut av sig sj\u00e4lv inom ett \u00e5r.<\/p>\n<p>&nbsp;<\/p>\n<p>Men sedan finns det ett mindre antal HPV-typer som kan ge mer allvarliga cellf\u00f6r\u00e4ndringar och dessa vill man g\u00e4rna behandla bort. Man g\u00f6r d\u00e5 en liten konisering, et vill s\u00e4ga sk\u00e4r eller br\u00e4nner bort den infekterade slemhinnan p\u00e5 livmodertappen. Detta kan g\u00f6ras i lokalbed\u00f6vning p\u00e5 gyn-mottagningen.<\/p>\n<p>&nbsp;<\/p>\n<p>Det framg\u00e5r att du nu \u00e4r v\u00e4l unders\u00f6kt vid tv\u00e5 tillf\u00e4llen. Visar proverna att du inte har klamydia\/mycoplasma-infektion, inte n\u00e5gra cellf\u00f6r\u00e4ndringar och en i \u00f6vrigt normal gyn-unders\u00f6kning kan du bara avvakta.<\/p>\n<p>&nbsp;<\/p>\n<p>Kanske \u00e4r det s\u00e5, att du tycker symptomet med bl\u00f6dningar efter samlag \u00e4r s\u00e5 besv\u00e4rligt att du vill ha behandling i alla fall. Man kan d\u00e5 g\u00f6ra en liten konisering, precis som d\u00e5 man har cellf\u00f6r\u00e4ndringar, f\u00f6r att ta bort omr\u00e5det med den l\u00e4ttbl\u00f6dande slemhinnan.<\/p>\n<p>&nbsp;<\/p>\n<p>Kanske skulle du kunna be din gynekolog testa dig f\u00f6r HPV. Om du b\u00e4r p\u00e5 en mer allvarlig HPV-typ men \u00e4nnu inte har f\u00e5tt cellf\u00f6r\u00e4ndringar skulle det ju kunna st\u00f6dja ett beslut att behandla dina bl\u00f6dningar med en konisering.<\/p>\n<p>&nbsp;<\/p>\n<p>Om du f\u00e5r besked att ditt cellprov var bra och att du inte hade klamydia\/mycoplasma tycker jag du kan sluta oroa dig. D\u00e5 \u00e4r det inte n\u00e5got allvarligt fel. Sedan kan du i lugn och ro diskutera eventuell behandling f\u00f6r bl\u00f6dningarna med din gynekolog.<\/p>\n<\/p><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Jag \u00e4r en kvinna p\u00e5 44 \u00e5r med tre barn. Har haft kopparspiral i tio \u00e5r utan problem. D\u00e4refter har jag f\u00e5tt en ny kopparspiral&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ep_exclude_from_search":false,"_FSMCFIC_featured_image_caption":"","_FSMCFIC_featured_image_nocaption":"","_FSMCFIC_featured_image_hide":"","footnotes":""},"categories":[136],"tags":[142],"class_list":["post-657542","post","type-post","status-publish","format-standard","hentry","category-experterna","tag-gynekologen"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-04-14 21:34:39","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/posts\/657542","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/comments?post=657542"}],"version-history":[{"count":0,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/posts\/657542\/revisions"}],"wp:attachment":[{"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/media?parent=657542"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/categories?post=657542"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/tags?post=657542"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}