What causes bleeding during intercourse?

I believe that many female friends will encounter the same situation, that is, bleeding easily during sexual intercourse. Female friends are often very worried about this situation, not knowing whether they are bleeding due to illness or for some other reason. So what exactly is going on with bleeding during sex? Let me introduce it to you today.

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 about sex together, be considerate of each other, and fully cooperate with each other. Women should relax mentally, and men should be gentle during sexual intercourse and avoid being rough. 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.

Medically, this type of bleeding is called "sexual intercourse bleeding", which often indicates the presence of certain diseases. For example, in the case of cervical erosion, when the degree is relatively mild, there may be no feeling at all, and the patient does not take it seriously and does not receive systematic treatment. As time goes by, the condition worsens, the area and depth of cervical erosion increase and become severe cervical erosion. At this time, the local area is obviously congested, the tissue becomes brittle, and even many capillaries lack protection and are superficial. During intercourse, the penis touches the eroded surface of the cervix and causes bleeding. Because the blood vessels are very small and thin, the amount of bleeding is small, and the bleeding will stop on its own if contact stops. Other conditions such as cervical polyps, submucous uterine fibroids, severe vaginitis, cervical cancer, and pregnancy can all cause postcoital bleeding. There are also cases where vaginal bleeding after sexual intercourse occurs due to rough movements by the man during sexual intercourse, causing lacerations in the reproductive tract. In this case, the amount of bleeding may be greater. In short, vaginal bleeding after sexual intercourse is not a normal phenomenon and you should go to the hospital for examination and necessary treatment in time. Through the above introduction, I believe everyone has a general understanding of the causes of bleeding during sex. In fact, in addition to some diseases that may cause bleeding during sexual intercourse, the spouse's actions are also very important. Be sure to be gentle and not too rough to avoid hurting the body.

Sexual activity and vaginal bleeding

Vaginal bleeding after sexual intercourse will make both husband and wife nervous and at a loss; Vaginal bleeding after sexual intercourse often occurs in the following situations:

Bleeding after the first sexual intercourse: On the wedding night, most brides will have a small amount of vaginal bleeding after the first sexual intercourse. This is caused by the tearing of the hymen. Generally, no special treatment is required and the bleeding will stop quickly. However, if the bleeding is heavy, even like a spring, you should go to the hospital's gynecology department immediately. Do not be careless, otherwise excessive bleeding may lead to life-threatening.

Bleeding during pregnancy:

① If a woman suddenly feels pain in the lower abdomen after sexual intercourse about 45 days after menstruation, accompanied by the urge to defecate and a small amount of dark red bleeding in the vagina, she should be alert. Because a considerable number of patients with ectopic pregnancy develop the disease after sexual intercourse.

② Vaginal bleeding with abdominal pain after sexual intercourse in late pregnancy, which may be more or less or contain blood clots, may be placenta previa. This kind of bleeding endangers the lives of mother and child, and they must be rushed to the hospital.

③ After sexual intercourse, dark red blood flows out of the vagina without blood clots, accompanied by abdominal pain and distension, hardening of the uterus and fetal restlessness, indicating early placental detachment. The patient must be sent to the hospital immediately and try to terminate the pregnancy within 6 hours.

Postpartum bleeding: During this period, the perineal wound made during delivery has not yet healed or there is granulation tissue in the vaginal wound. During sexual intercourse, the wound may split or the tender granulation tissue in the vagina may be scratched, causing bleeding.

Disease-related vaginal bleeding:

① Cervical polyps: They are caused by chronic inflammatory stimulation, which causes local hyperplasia of the cervical mucosa and gradually protrudes outward. They are bright red, soft and fragile, and rich in blood. They can be easily ruptured during sexual intercourse and cause a small amount of bright red bleeding.

② Cancer: If middle-aged and elderly people experience a small amount of vaginal bleeding after sexual intercourse, which is bright red and painless, and if their vaginal discharge increases recently and has a fishy odor, it is often an early symptom of cervical cancer. You should be vigilant and have a gynecological examination to rule out cancer.

③ Sexually transmitted diseases: A small amount of bright red vaginal bleeding occurs after sexual intercourse, there is recent vulvar itching, and small wart-like growths can be seen on the vulva or vaginal walls; when a man has similar growths on the foreskin of his penis head, genital warts may be considered. Both men and women should go to the hospital for examination, diagnosis and treatment as soon as possible.

Vaginal bleeding after sexual intercourse must first rule out problems with the female's reproductive tract, such as common vaginal polyps, cervical polyps, cervical erosion, uterine fibroids, etc., due to the friction and impact of the penis, causing the polyps or ulcerated areas to rupture and bleed; if bleeding after sexual intercourse often occurs, you must also be alert to cervical cancer, endometrial cancer, etc.; sexual intercourse during the middle of the menstrual period may cause a small amount of vaginal bleeding due to corpus luteum rupture; women with ectopic pregnancies may have ectopic rupture after sexual intercourse, and some of them will also experience bleeding; menopausal women often experience anovulatory uterine bleeding due to ovarian dysfunction, sometimes just after sexual intercourse; some women may also rupture and bleed when the clitoris is subjected to rough stimulation during sexual intercourse.

In addition, it is not uncommon for patients with urinary tract stones or tuberculosis, bladder polyps and cancer to experience urinary tract bleeding after intercourse and mistake it for vaginal bleeding. The ovaries are called temporary warehouses for tumors. Tumors in other parts of the body, especially stomach cancer, liver cancer, intestinal cancer in the digestive tract, and lung cancer in the respiratory tract are very likely to metastasize to the ovaries. During sexual intercourse, the ovarian cancer tumor may be stimulated and rupture, and blood may flow out of the vagina.

As can be seen from the above, the causes of vaginal bleeding after sexual intercourse are very complicated, so please be sure to go to the gynecology department for a thorough examination. If no problems occur, you should consider the possibility that the man has urogenital diseases, such as seminal vesiculitis, urinary stones or tuberculosis. The way to distinguish is to wear a condom the next time you have sex, and check the semen in the condom after sex. If there is blood, the man should seek further diagnosis and treatment.

Generally speaking, vaginal bleeding after sex is a symptom of early cervical erosion and you should go to the hospital for a thorough examination. If so, then do physical therapy. But since your girlfriend has never given birth to a child, it is best to listen to the doctor's advice and try other forms of treatment.

There are many reasons for bleeding, it may be inflammation, it may be excessive force, or it may be an early symptom of cervical cancer. So be sure to go to the hospital for a check-up.