Bleeding after sex is a condition in which there is any type of mild to severe bleeding from the vaginal after having vaginal sex. Bleeding after sex is also known as “postcoital bleeding”. Bleeding after sex might occur for several hours or as long as a whole day. However, while bleeding after sex may be associated with sexual intercourse, there may be other possible reasons that might cause it and they include; vaginal dryness, infection, direct trauma and other illnesses. Bleeding after sex should not go unnoticed, it is not uncommon for the vaginal and cervix to get irritated during sexual intercourse that might lead to bleeding after sex.
Possible causes of vaginal bleeding after Sex
Bleeding after sex can be caused by many diseases or disorder that affect the vaginal, cervix or uterus and they include;
- Vigorous sex: Vaginal bleeding after sexual intercourse might not be because of infection or any illness. Sometimes vigorous or rough sexual intercourse can lead to vaginal bleeding. Vigorous penetration into the vaginal can cause cut or scrape the tissue in the vaginal. This can lead to bleeding, this problem is more likely to occur with vaginal dryness, but some women can experience bleeding after sex if they are having sex for the first time. Vigorous sex in other case may be from the use of sex toy that can cause tearing of the vaginal and also bleeding.
- Infection: Infection particularly of the cervix can lead to bleeding after sex. When there is an infection, inflammation makes the cervix more fragile. This makes the vaginal more likely to bleed after having sexual intercourse and it often occurs when there is the presence of sexually transmitted disease like Gonorrhea, Chlamydia, Trichomonas and Pelvic inflammatory Diseases (PTD).
- Vaginal dryness: There are a number of things that can lead to vaginal dryness and this might include birth control pills, breastfeeding some cancer treatment, douching, engaging in sexual intercourse before arousal and when you have your womb removed. Vaginal dryness is also common after experiencing menopause, as the level of hormone estrogen are lower, which causes your vaginal fluid to decrease. When your vaginal feels dry and isn’t lubricated during sexual intercourse, the friction caused by penetration can irritate and tear the fragile lining of the vaginal causing it to bleed after sex.
- Cervical ectropion: Glandular cells from the inside of the cervical canal can abnormally grow on the outside of the cervix. This condition usually clears up without any treatment, but it can cause spotting or vaginal bleeding after having sex. Cervical ectropion can occur in younger women, people that are on birth control pills, pregnant women whose cervix are softer than normal. This condition does not really require treatment unless there is excessive vaginal bleeding. You can consult with your health provider for more diagnoses.
- Cervical polyps: These small noncancerous growth form on the cervix or uterine lining. Menstruating women commonly get fibroids and polyps. Sometimes this little growth irritates neighboring tissues and cause vaginal bleeding. Cervical polyps can hang down from the cervix into the vaginal where they might be irritated during sex. This is because polyps have many blood vessels feeding them, causing them to bleed easily during sexual intercourse.
- Menstruation: Whenever you are about to begin your menstrual cycle, you may start bleeding during sexual intercourse. This might not cause for concern and it is normal to bleed especially if you are having sexual intercourse around your period time or immediately after your period.
- Uterine prolapse: When your uterine come out of its normal position, your cervix and other tissues are sometimes exposed. Symptoms of this kind of condition may include; pelvic pain, abdominal pain or lower back pain and pain during sex. If your uterine prolapse is severe enough, it may cause bleeding after sex. Please consult with your health care provider.
- Cancer: Cancer that can cause impact to the reproductive system or urogenital tract can alter vaginal tissues and hormone levels, making the vaginal more vulnerable to damage. Vaginal bleeding is considered a common symptom of both cervical and uterine cancers. Cancerous growth can damage the inner component of the vaginal. Bleeding after sex can be an early sign of cervical cancers.
How to avoid the severity and frequency of bleeding after sex
- Avoid vigorous sex
- Stay hydrated
- Make sure to be aroused before engaging in sexual intercourse
- Seek medical treatment if you suspect an infection
- Always use protection especially when you are involved with multiple partners
- Use water or silicon base lubricant before or during sex or foreplay especially if you are experiencing vagina dryness.
- Wait for few days after your period have ended before having sex.
Bleeding after sex varies, light bleeding may occur for several hours or for as long as a day. However, bleeding after sex might not be as a result of any underlying disease, but if you are experiencing bleeding after sex, please consult with your health care provider.