Occasional bleeding during intercourse

Generally speaking, during sexual intercourse, if the foreplay is good and it is not the first time, there will generally be no bleeding. If the bleeding is not caused by vaginal laceration or rupture of the hymen, then you must go to the hospital for treatment in time, because this may indicate that the woman has gynecological inflammation or external malignant tumors, and active treatment is needed.

1. What causes bleeding after sex?

If a woman bleeds during sexual intercourse, the first thing to do is to find out the cause of the bleeding during sexual intercourse. If the bleeding during sexual intercourse is caused by local organic lesions of the female external genitalia, the bleeding during sexual intercourse can be cured by curing the local lesions. If bleeding during sexual intercourse is caused by vulvar ulcers, vulvar eczema, or vulvar herpes, you should first use antibiotics to eliminate the inflammation, and cure the eczema and herpes. The bleeding during sexual intercourse will heal naturally. If bleeding during sexual intercourse is caused by vaginal trichomoniasis, you should first use metronidazole to treat the trichomoniasis. After the trichomoniasis is cured, the bleeding during sexual intercourse will heal naturally.

If bleeding during sexual intercourse is caused by improper sexual intercourse, the couple should learn sexual knowledge together, be considerate of each other, and fully cooperate. The woman should relax mentally, and the man should be gentle during sexual intercourse and avoid rough movements.

For elderly women after menopause, appropriate ointment can be applied to the vulva during sexual intercourse to improve vaginal lubrication and prevent atrophy. Sexual life should be moderated appropriately, and women should avoid sexual intercourse during menstruation. Women over 40 years old who experience bleeding during sexual intercourse should be alert to the possibility of genital malignancy.

2. What should I do if vaginal bleeding occurs after intercourse?

If a woman bleeds after intercourse, the first thing to do is to find out the cause of the bleeding. If the bleeding during sexual intercourse is caused by local organic lesions of the female external genitalia, the bleeding during sexual intercourse can be cured by curing the local lesions. If bleeding during sex is caused by vulvar ulcers, vulvar eczema, or vulvar herpes, you should first use antibiotics to eliminate the inflammation, and cure the eczema and herpes. The bleeding during sex will heal naturally. If bleeding during sex is caused by vaginal trichomoniasis, you should first use metronidazole to treat trichomoniasis. After the trichomoniasis is cured, the bleeding during sex will heal naturally. If bleeding during intercourse is caused by improper intercourse, the couple should learn about sex together, be considerate of each other, cooperate fully, and adopt appropriate intercourse methods and positions.

However, most bleeding after intercourse is caused by organic diseases of the reproductive system. For example, cervical erosion combined with severe cervicitis can cause bleeding. Cervical polyps are actually a manifestation of cervicitis and may also cause bleeding. Cervical cancer may cause bleeding. Endocervical and endometrial lesions may also cause bleeding.

Don’t be too nervous if you bleed after sex, but be sure to go to the hospital for a check-up to rule out cervical cancer. The incidence of cervical cancer is getting higher and higher, increasing at a rate of 2%-3% per year, and the incidence is getting younger and younger. It is recommended to go to the hospital for examination and timely diagnosis and treatment to avoid delaying the disease.

3. What examinations should be done if bleeding occurs after intercourse?

Bleeding during intercourse is caused by trauma to the cervical surface. Bleeding during intercourse is a common symptom for patients with cervical erosion and polyps. Cervical polyps are a manifestation of chronic cervicitis. The root of one type of polyp is attached to the cervical opening or the cervical canal. It is formed by local hyperplasia of the cervical mucosa under the stimulation of inflammation and protruding out of the external opening of the cervix. Generally speaking, women with cervical polyps do not have any discomfort symptoms. Sometimes there is an increase in leucorrhea, blood in the leucorrhea, or bleeding during intercourse. If the above conditions are found, you need to go to the hospital for a routine leucorrhea test, a cervical scraping, and a cervical TCT if necessary. Once cervical polyps are discovered, they should be removed surgically.

To treat cervical erosion, first a cervical smear should be done to rule out precancerous lesions, and then a pathological examination of cervical secretions should be performed to confirm which pathogen is causing it. If necessary, pathogen culture + drug sensitivity test can be performed to select sensitive drugs for treatment. There are two types of drug treatment: local and systemic. However, physical therapy is better for the treatment of moderate and severe cervical erosion, such as laser, microwave, Bohm light, red light, LEEP knife, etc. It is recommended that you choose a treatment method that suits you under the guidance of a doctor and undergo standardized treatment, which can be cured. There is no effect on pregnancy after recovery.