Dr. Goldstone forwarded your letter to me, and I have discussed your concerns with my ob-gyn consultant. You don't mention whether your sex is particularly rough or painful or if your toys involve sharp edges, but I am assuming that none of those is the case. Your girlfriend needs to see her gynecologist. A yearly Pap test is the minimum exam to be done at this point. She could have a low-grade tumor or infection or some anatomical situation that causes the bleeding.
Early detection is the key to an early cure.
If she is embarrassed to be seen by her current gynecologist, she should see someone else. If you'd like to let me know what city you are in or near, I could try to get you a referral or a name of someone. It's good that you are making a move to get help for your girlfriend. Subscribe now via our online form. She is an associate professor at Cornell University's Wiell Medical College and a regular columnist for The AIDS Reader.