No pain after bleeding in bed

Bleeding after having sex is a common symptom among women. If symptoms of bleeding during sexual intercourse occur and it is not the first time for sexual intercourse, it means that the woman has certain gynecological diseases, such as cervicitis, cervical polyps, cervical cancer, endometriosis, pelvic inflammatory disease, sexual intercourse injury, etc. To alleviate this symptom, patients need to go to the hospital for examination and treatment in time.

main reason

1. Cervicitis (erosion). 90% of married women suffer from cervicitis. Cervicitis is divided into three types: mild, moderate and severe according to the degree of cervical erosion. For patients with moderate or severe cervical erosion, the rubbing of the cervix by the glans of the male's penis during sexual intercourse may cause injury and bleeding. Because the amount of bleeding is small, it does not flow out immediately but accumulates in the vagina, and the color of the blood changes from fresh to old. Therefore, when the blood flows out the next day, it is dark red.

2. Cervical polyps. Chronic inflammation may cause cervical polyps due to long-term stimulation of the cervix. Single or multiple small pedunculated granulation tissues grow at the cervical opening, looking like bean buds, and the larger ones are as big as a finger. Polyps are fragile and tender, and will bleed if touched, so bleeding may occur after sexual intercourse. This bleeding is usually bright red.

3. Cervical cancer. Bleeding after sexual intercourse is the earliest symptom. Because there are more small blood vessels and the tissues are more fragile in the cancer lesions, the capillaries will rupture and bleed due to damage after each sexual intercourse. If the cancer grows further, it will bleed more easily.

4. Endometriosis. Some endometriosis grows on the cervix and appears as blue-purple nodules. If this blue-purple ectopic nodule is touched during sexual intercourse, it will cause bleeding. The amount of bleeding is generally small and dark red, and abdominal pain often occurs after intercourse.

5. Pelvic inflammatory disease. Pelvic inflammation can cause pelvic congestion. If the endometrium is congested and edematous, the congested endometrium may bleed after sex, but this chance is rare.

6. Sexual intercourse injury. A common site of sexual intercourse injury is the vaginal foramina, which can sometimes cause a foramina several centimeters long. In severe cases, it can reach the peritoneum or penetrate the peritoneum into the abdominal cavity. Once this happens, you need to go to the hospital for examination and treatment as soon as possible. The gynecologist will take appropriate treatment measures according to the specific circumstances of the injury, such as inserting gauze into the vagina for compression or using intestinal sutures to stop bleeding.

Prevention methods

1. Bleeding during sexual intercourse should prevent cervical erosion

When the cervical erosion area accounts for more than 2/3 of the entire cervical area, it is cervical erosion grade III, also known as severe cervical erosion, and some people call it severe cervicitis. In case of grade III cervical erosion, the amount of vaginal discharge increases, becomes yellow, sticky and has a foul odor, and irritates the vulva, causing itching. Sometimes contact bleeding or irregular vaginal bleeding occurs after sexual intercourse, and frequent urination may also occur. When the inflammation spreads to the pelvic cavity, lumbar pain, lower abdominal distension and dysmenorrhea may also occur, and the symptoms will worsen during menstruation, bowel movements or sexual intercourse.

2. Prevent cervical hypertrophy by bleeding during sexual intercourse

Gynecological examination: Acute inflammation may cause cervical congestion, edema, or erosion, with purulent secretions discharged from the cervical canal, and there may be pain when the cervix is ​​touched. Chronic cervicitis may show varying degrees of erosion, hypertrophy, polyps, glandular cysts, and ectropion of the cervix, or purulent secretions at the cervical opening and a hard cervix upon palpation. If it is cervical erosion or polyp, there may be contact bleeding.

Protection methods

If bleeding during sexual intercourse is caused by improper sexual intercourse, the couple should learn about sex together, be considerate of each other, cooperate fully, and adopt appropriate sexual intercourse methods and positions. Women should relax mentally, not be nervous or depressed, and eliminate unnecessary worries. Men should do sufficient caressing and other preparations to arouse women's excitement. During sexual intercourse, the movements should be gentle, avoid being rough, and avoid inserting before the vagina is fully moistened. 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.