Bleeding After Sex: Causes, treatment, and when to see a doctor

Bleeding after sexual intercourse is quite common – about 1 in 20 women experience it. Very intense relationships, excess friction or lack of lubrication are common causes that do not represent a serious health problem. But there are others that are dangerous and require immediate medical attention and treatment. Here we tell you what they are.

If you’ve noticed bleeding after sex, try not to panic. There are a number of reasons this can occur, so it is important to be aware of what could be causing it. Knowing the possible reasons for bleeding after sex will help you keep your vaginal and cervical health in check.

What can cause bleeding after sexual intercourse?

Bleeding after sex may indicate one of the following:

Why do I bleed after having sex

The vaginal bleeding during and after intercourse is a common problem that many women must go to a gynecologist. This condition is not related to the menstrual cycle, since it is normally experienced at the end of sexual intercourse even when you do not have a period. Although in many cases it can be due to simple friction during penetration or minor issues, it is essential to visit the doctor since it is also one of the symptoms of more serious health problems. In the following article we collect the possible causes and answer the question of why do women bleed after having sex.

The postcoital bleeding on many occasions due to banal problems with a simple gynecological examination can be detected and corrected. However, we must not downplay this condition since it can also be a symptom of more serious and severe health problems, so if you detect that you bleed during or after having sexual intercourse, go to your gynecologist as soon as possible to examine you. exhaustive way. Let’s see below what may be the possible causes of postcoital bleeding.

Having sexual intercourse too rough when the vagina is not lubricated enough, can cause slight bleeding to appear after intercourse. This is derived from small injuries that occur in the mucous of the vagina when receiving strong and traumatic penetrations.

A sexually transmitted disease (or STD). Two very common diseases of this type are gonorrhea and chlamydia. Both can make you bleed after sex. Bleeding can also coincide with vaginal discharge, irritation in the vaginal canal, or a burning sensation when urinating. In both cases the treatment is based on antibiotics, followed by preventive measures, such as the practice of safe sex.

Vaginitis. It is an inflammation in the vagina that can have different causes (infection by bacteria, fungi, parasites such as trichomonas; a reduction in estrogen levels after menopause; or a reaction to a substance that irritates you). Vaginitis can cause light bleeding that gets worse after intercourse. Treatment of vaginitis depends on the cause. If anything:

  • it is an infection – your gynecologist or your doctor may recommend vaginal creams or suppositories and / or oral medications to treat it.
  • It is lack of lubrication – I could recommend a lubricant or a cream or ring with hormones for local application.
  • it is a reaction to a substance such as detergent or soap (change it).

Cervicitis. Inflammation of the cervix (or neck of the uterus), in addition to bleeding after intercourse, can be detected by the presence of a yellow or grayish, foul-smelling discharge, as well as pain when urinating. One of the most common causes of cervicitis is an allergic reaction to latex or a spermicide, although it can also be a viral or bacterial infection. Your doctor can help you determine the cause and prescribe treatment. If it is an allergy, your partner can switch to another type of condom other than latex and / or you can use another spermicide.

Pelvic inflammatory disease. It occurs when bacteria move from the vagina or cervix to the uterus, fallopian tubes, ovaries, or pelvis. Many cases of pelvic inflammatory disease (PID) are due to the same bacteria that cause chlamydia and gonorrhea. But not all cases of PID are caused by a sexually transmitted disease. Many times they are produced by bacteria that normally live in the vaginal canal or that enter it by various means (including sexual intercourse). In many cases they do not give symptoms. Bleeding after intercourse can be a warning sign. It is important to treat PID on time with antibiotics because if it is not treated and the infection continues, it can affect your reproductive organs and cause infertility.

Endometriosis. It is a painful condition in which the tissue that lines the uterus grows outside of it. A light to moderate bleeding can be one of its symptoms, in addition to very painful and intense periods, pain in the pelvis, in the lower part of the back and also when defecating. It is important to treat endometriosis as it can cause infertility.

Cervical cancer. If you do a regular cytology test ( Pap or Pap smear), and it has come back negative, it is unlikely that this is the cause of your bleeding. But do not trust yourself, especially you are already in menopause. It is best to consult with the gynecologist and rule out the presence of cancer cells in the cervix.

An issue that we must also assess when we detect bleeding after sexual intercourse is a possible alteration in ovulation, which is due to a contraction of the uterus that occurs during female orgasm. This also explains the slight vaginal bleeding that can appear the days before or after menstruation.

Once you know the possible causes of vaginal bleeding during and after having intercourse, do not forget that before the manifestation of any symptoms you should go to your gynecologist for a complete review.

Can bleeding after sex be a sign of pregnancy?

Bleeding can occur after having sex due to pregnancy, as it can cause changes in the cervix. However, if you bleed after sex, this does not necessarily mean that you are pregnant. If you’re worried you might be, or if you haven’t had your period, consider taking a pregnancy test to be on the safe side.

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