Bleeding after douching or after a pelvic exam may also occur.
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It occurs more commonly in women who start sexual activity at a young age and is also more common in women with many childbirths and partners.
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According to the ASPCA about 1.

Hemolysis, toxicity, and randomly amplified polymorphic DNA analysis of Stachybotrys chartarum strains.
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Just casually have noted it is usually lower than normal.