Bleeding After Sex: All You Need To Know

Women of all ages have concerns about bleeding after sex, especially if it is not their first time doing it and it isn’t menstruation either. Women with this issue are said to have postcoital bleeding.

Bleeding after sex is common in some women. However, it should not be taken lightly because it could indicate an underlying medical condition.

This blog will take you through all you need to know about vaginal bleeding after sex. From causes, treatment, diagnosis, and prevention.

Things to Know About Bleeding After Sex

Bleeding after sex
Bleeding after sex

Bleeding after sex is most prevalent in women. It can be normal but it is very scary and frustrating especially if you are not sure why it is happening.

Bleeding after sex should be a concern if;

  • It is not your first time having intercourse.
  • You are not having or expecting your period.
  • You have not had any pelvic exam or pap smear for cancer screening recently.
  • You have not been diagnosed with any women’s health issues such as Endometriosis or vaginal/cervical cancer.

If you occasionally experience some minor bleeding after sex, there’s a good chance that nothing is wrong. However, you cannot assume everything just like that. Visiting your doctor for an examination is the only way to be certain that you are healthy.

Note: If you have not been diagnosed with female sexual dysfunction and you experience bleeding after sex, consider visiting your doctor.

What are the Causes of Bleeding After Sex?

Apart from menstruation and a broken hymen, there are a couple of reasons that can make a woman bleed after sex. We are going to classify these causes as minor, moderate, and severe. Some of these causes include the following:

Minor Causes of vaginal bleeding after sex.

  1. Menstruation.
  2. Implantation bleeding.
  3. Inadequate lubrication or rather vaginal dryness caused by breastfeeding, douching, menopause, douching, or contraception.
  4. Rough sexual activities.
  5. Friction.
  6. Vaginal tearing caused by childbirth or other cuts.

Moderate Causes of Vaginal Bleeding after sex.

1. Pelvic inflammatory disease

You could also be bleeding after sex because you have Pelvic inflammatory disease (PID).

The most frequent cause of PID, an infection of the female reproductive system, is the spread of sex-transmitted bacteria from the vagina to the uterus, fallopian tubes, or ovaries.

One of the initial signs of pelvic inflammatory disease is bleeding after coitus. To ensure that PID is the cause of your bleeding after sexual activity, you should visit a doctor and have yourself checked out.

2. Sexually transmitted infection (STI)

Bleeding during and after sex could also indicate a sexually transmitted infection. Some of these infections include syphilis, chlamydia, chancroid, and gonorrhea.

If you do not get treated, these infections could lead to infertility. See your doctor if you experience STI symptoms such as itching, bloody urine, discharge, and bad odors.

3. Cervicitis

Cervicitis, an inflammation of the cervix (the lower, narrow end of the uterus that opens into the vagina), could also be the cause of your post-sex bleeding. It typically results from allergic reactions, bacterial overgrowth, and sexually transmitted infections.

When cervicitis is present, sexual activity may cause vaginal bleeding. Visit a doctor or ob/GYN to receive a thorough examination and the necessary treatment to stop bleeding after coitus.

4. Vaginitis

You could also bleed after intercourse because of Vaginitis. Vaginal inflammation known as vulvovaginal vaginitis can cause discharge, itchiness, pain, and bleeding after sex.

Severe Causes of Bleeding After Sex

1. Cancer.

Cancer is one of the severe causes of bleeding after sex. Different cancers including cervical cancer, endometrial cancer, or vaginal cancer can lead to bleeding after sex.

Usually, painful intercourse and bleeding after sex are among the first signs and symptoms of cervical or vaginal cancer.

Schedule an appointment with your doctor to be able to know if it is cancer that is leading to your bleeding after intercourse. If not treated, cancer can lead to premature death.

2. Pelvic organ prolapse

A condition known as pelvic organ prolapse occurs when the pelvic organs protrude or fall outside of the vaginal walls. The bladder, uterus, vagina, small bowel, and rectum are a few of these organs.

Aging or childbirth may be the cause of this condition. In order for your doctor to examine you and determine which organ is drooping, there must be a physical examination. If one or more organs have moved out of place, the condition gets worse.

3. Cervical Polyps.

Cervical Polyps are also a severe cause of bleeding after sex. Cervical polyps are noncancerous growths on your cervix that need to be removed through medical procedures.

You might not need treatment if your symptoms are mild. However, treatment is necessary if the symptoms are severe.

Diagnosis for issues leading to bleeding after sex

Bleeding After Sex
Bleeding After Sex

When you talk to your doctor about bleeding after intercourse, a few things need to be done for the root cause to be established. Diagnosis can be done as follows;

  • A doctor will interview you by asking a couple of questions about your medical history, symptoms, how long you’ve experienced bleeding and how you feel.
  • Next, a physical examination will be carried out to determine the problem. In most cases, a pelvic exam is necessary.
  • Depending on the findings of the examination, you might need more tests run on you to find the problem. This might take some time or some sort of rescheduling. These tests may include cancer screening, pregnancy tests, STD tests, or a colposcopy.

Note: For purposes of running more tests, you may need to visit the hospital a couple of times for tests.

Treatment for Bleeding After Sex

The treatment for a woman bleeding after sex is highly dependent on the issue or infection that you are diagnosed with.

  1. If you are bleeding due to an STI, it will be treated to stop the bleeding.
  2. If you bleed due to vaginal dryness, the doctor will recommend lubricants and more foreplay.
  3. Estrogen therapy may also be recommended.
  4. If you are diagnosed with cervical cancer, treatment will commence(surgery, chemotherapy, or radiation).
  5. A cervical polyp will be removed if one is discovered.
  6. The appropriate course of action will be advised if you have PID, vaginitis, or endometriosis.
  7. Additionally, if the doctors discover hormonal imbalance, it might be suggested that you stop using your current method of contraception.

How to Prevent Vaginal Bleeding After Sex

There are a couple of things you can do to prevent vaginal bleeding after coitus. These prevention measures include;

  • Avoid rough sex.
  • Use a lubricant during sex especially if you have vaginal dryness.
  • Consider increasing the time for foreplay before penetrative sex.
  • After your period is over, wait a little longer before engaging in sexual activity.
  • Consult a physician to ascertain the cause and have them remove any detected cervical polyps and treat STIs.
  • Keep those doctor’s appointments and cancer screenings for women. Never miss!

Frequently Asked Questions

Is bleeding after sex Normal?

Bleeding after sex is normal for some people. However, it can be treated or prevented. Proper medication, treatment, and lifestyle adjustments can help stop it. 

If the bleeding is heavy and sudden and you are sure you’re not menstruating, consider seeing a doctor

Can Bleeding After Sex Stop on Its Own?

Bleeding after sex can stop on its own if the cause is minor or doesn’t have anything to do with reproductive health problems such as endometriosis or cancer.

However, do not assume any kind of bleeding. Consult a doctor to be sure of the primary cause of your bleeding and what you can do to stop it.

Does Deep sex cause bleeding?

There may be some bleeding from very deep penetration, particularly if it is forceful and you are not sufficiently lubricated, or if you are in a position that allows for very deep penetration.

Therefore, before thinking about seeing a doctor, ask your partner to be less aggressive so you can rule that out from the causes of bleeding after sex.

What causes bleeding during sex?

Vaginal bleeding during sex can be brought on by a variety of conditions, including infections, cervical polyps, menopause, cancer, and vaginal trauma brought on by dryness.

You will not be able to know why you keep bleeding after sex if you do not go to the hospital for an examination.

When should I be worried about bleeding after sex?

You should be worried about bleeding after sex if you are pregnant or if the bleeding is heavy to a point of filling a pad within a very short period of time.

In such a case, call your doctor or rush to the hospital.

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