Vaginal dryness as a cause of bleeding

Vaginal dryness can be a significant cause of bleeding during or after sexual intercourse. Reduced vaginal secretions can result from menopause or certain medications, which can lead to dryness and subsequent bleeding.

Infections causing bleeding during/after sexual intercourse

Infections can cause postcoital bleeding, including pelvic inflammatory disease (PID) and sexually transmitted infections (STIs) such as chlamydia. Cervical inflammation or cervicitis is another possible cause of bleeding, which can be ongoing, harmless, or due to a sexually transmitted infection.

Injuries to the vagina and related bleeding

Injuries to the vagina can lead to postcoital bleeding. For instance, during the first occurrence of sexual intercourse, a small flap of vaginal skin called the hymen is often stretched and broken, causing minor bleeding that can last 1 to 2 days. Other injuries, such as those related to childbirth or dryness and friction during sex, can also cause bleeding.

Cervical and endometrial polyps

Bleeding during or after sexual intercourse can be caused by cervical and endometrial polyps. These benign growths can develop in the womb or the lining of the cervix and may result in postcoital bleeding.

Serious conditions causing postcoital bleeding

Some serious health conditions can cause bleeding after sex, such as cervical cancer and cervical ectropion, a condition in which the inner lining of the cervix protrudes. Endometriosis and other infections, such as genital herpes or syphilis, can also result in postcoital bleeding.

Importance of seeking medical advice

It is crucial to seek medical advice if you experience postcoital bleeding, especially if you have specific risk factors or have gone through menopause. A healthcare professional can assess your symptoms and medical history to determine if any treatment is needed.

Treatment options for postcoital bleeding

Treatment for postcoital bleeding depends on the underlying cause.

Infections and polyps are treatable, while other conditions, such as inadequate lubrication or foreplay, may require further medical intervention.Women taking oral contraceptives may also experience injury to the uterine lining (endometrium) during intercourse, leading to bleeding.

Discussing postcoital bleeding with a doctor

It is essential to talk with a doctor any time postcoital bleeding is experienced to determine the cause and appropriate treatment plan. Consulting a healthcare professional can help address any concerns and ensure that the bleeding is not indicative of a more serious condition.