What causes bleeding after intercourse?

Bleeding after intercourse is generally not considered normal. Many people dismiss this as normal or the result of "rough sex," which could have resulted in vaginal trauma. It is rarely the case that this causes bleeding. Rather, women who notice this condition usually need to see a doctor to determine the cause, as there are many serious and even life-threatening underlying conditions that can have bleeding after intercourse as a symptom.

The least problematic condition that could cause bleeding after intercourse is prolonged vaginal dryness, in women who have completed menopause. Insufficient lubrication can create irritation inside the vagina, causing some bleeding. There are ways to address this dryness, including using hormonal treatments or making sure to use ample lubrication during sexual activity. A gynecologist is a good resource for information on this topic, and can also perform an exam to rule out any other medical problems.

Some of these include certain sexually transmitted diseases, which don't always have many other symptoms. In particular, chlamydia is known to show no symptoms in more than half of the infections that occur. However, one symptom that can be produced and ignored is bleeding after intercourse. Infection with gonorrhea can also cause abnormal bleeding after sex. An infection does not have to be sexually transmitted to cause postcoital bleeding; any type of vaginitis, yeast or bacterial, could also be indicated.

A variety of conditions that affect the cervix may have post-intercourse bleeding as a symptom. Sometimes people develop polyps or small growths on the cervix that result in this. Alternatively, cervical inflammation, called cervicitis, or cervical ectropion could be present. The latter simply means a higher chance of cervical irritation, particularly with intercourse, and this can sometimes require treatment. Cervical cancer is another potential cause of bleeding after intercourse.

Cancer in many parts of the reproductive tract can cause abnormal bleeding. It could be present in the vagina or uterus. Things like fibroids or polyps in the uterus are another possible cause. Pelvic inflammatory disease and chronic conditions such as endometriosis may also be suspected.

One cause of bleeding after intercourse that deserves mention is menstrual bleeding. Sometimes a period starts right after intercourse ends. This is usually the easiest cause to identify, as continued menstruation makes it quite clear that intercourse did not actually result in bleeding.

In most cases, women are advised to take post-coital bleeding very seriously. It can indicate that there are major problems, and these may require immediate attention. Such care should not be delayed until an annual check-up, as some of the diseases or conditions that cause bleeding after intercourse can harm the reproductive system or put general health at risk without immediate treatment.

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