Bleeding After Sex: Causes, Diagnosis, and Treatment

Postcoital bleeding is any bleeding from the vagina after vaginal sex. It can range from light spotting to more significant bleeding. The bleeding usually comes from the vagina or cervix.


Common Causes for Bleeding After Sex

  • Menstruation: Check if it's close to your period.
  • Vaginal Atrophy/Dryness: Often due to low estrogen, especially after menopause.
  • Cervicitis: Inflammation or infection of the cervix.
    • STDs: Such as chlamydia.
    • Bacterial Vaginosis: Imbalance of vaginal bacteria.
    • Trichomoniasis: Parasitic infection.
  • Cervical Ectropion: Soft cells inside the cervical canal move to the outer part of the cervix.
  • Cervical Polyps: Growths on the cervix.
  • Uterine Prolapse: Uterus slips out of place.
  • Lesions: Often benign, but can bleed.
  • Cervical Cancer: Postcoital bleeding can be an early symptom.

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Diagnosis for Bleeding After Sex

  • Urine Sample: Check for pregnancy or UTI.
  • Vaginal Exam: Look for causes of bleeding.
  • Smear Test: Repeat if needed.
  • Pipelle Test: Sample the uterine lining.
  • Ultrasound: Especially if pregnant or over 45.

Your doctor will ask about:

  • Your sexual activity and contraception use
  • Medicines you're taking
  • Recent cervical smear tests

Treatment for Bleeding After Sex

  • Vaginal Atrophy/Dryness: Use lubricants or hormone therapy.
  • Cervicitis: Antibiotics.
  • Cervical Ectropion: Treatment if symptoms are severe.
  • Cervical Polyps: Usually benign; remove if needed.
  • Uterine Prolapse: Kegel exercises, weight loss, or surgery.
  • Lesions: Further tests and possible removal.
  • Cervical Cancer: Specialist referral and treatment.

When to See a Doctor

Contact your doctor if you have:

  • Heavy or frequent bleeding
  • Other symptoms like abdominal pain, nausea, back pain, or unusual discharge

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Prevention Tips for Bleeding After Sex

  • Use water-based or silicone-based lubricants
  • Have sex slowly and stop if you feel pain
  • Regular use of vaginal moisturizers
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Frequently Asked Questions

1. Can bleeding after sex be a sign of pregnancy?

Light bleeding can be due to increased blood flow in the cervix and vagina or implantation bleeding.

2. Is bleeding after sex normal?

It can happen, often from the cervix, but other parts of the genital and urinary systems can also be involved.

3. Can rough sex cause vaginal bleeding?

Yes, trauma from vigorous sex can cause bleeding, even without infection or dryness.

4. How to stop bleeding after sex?

To stop bleeding after sex, apply gentle pressure to the area with a clean cloth or tissue. If bleeding persists, use a cold compress and seek medical attention to rule out serious causes.

5. Is it normal to bleed after sex?

Occasional light bleeding after sex can be normal, especially if it is your first time or if there is insufficient lubrication. However, persistent or heavy bleeding should be evaluated by a healthcare professional.

6. Why it is Pain and bleeding after sex?

Pain and bleeding after sex can be caused by various factors, including infections, vaginal dryness, cervical or vaginal tears, or underlying medical conditions. It's important to consult a healthcare provider for proper diagnosis and treatment.

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