Bleeding After Intercourse: Causes, Signs, and Therapy

If you are not anyplace close to your interval, it would really feel alarming to see a little bit of blood after you have had intercourse. You may even marvel if it means one thing severe.

Concern not: Vaginal bleeding after intercourse (additionally referred to as postcoital bleeding) is definitely fairly frequent. The truth is, mild bleeding after intercourse occurs to as much as 9 p.c of all menstruating individuals. And most causes aren’t trigger for concern.

“There are a lot of causes of postcoital bleeding,” says Jamy Bulgarelli, DO, OB/GYN at Pediatrix Medical Group in Grand Prairie, Texas. “However most causes are benign.”

Study the commonest causes of bleeding after intercourse right here, together with different indicators and signs to observe for, and how one can deal with every.

“There are a lot of causes of postcoital bleeding, however most causes are benign.” —Jamy Bulgarelli, DO, OB/GYN, gynecologist

1. Vaginal infections

Some of the frequent causes of bleeding after intercourse is a vaginal an infection, says Dr. Bulgarelli. There are a number of totally different pathogens that may trigger vaginal infections, with the commonest being STIs like chlamydia, gonorrhea, trichomoniasis, and herpes. Much less generally, yeast infections or an an infection referred to as bacterial vaginosis (BV) could cause bleeding after intercourse, says Dr. Bulgarelli.

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“Infections, significantly sexually transmitted ones, can result in important irritation of the cervix (cervicitis), making it extra susceptible to bleeding throughout or after intercourse,” explains Dr. Bulgarelli. “Widespread signs of those infections embrace irregular vaginal discharge, vaginal odor, itching or irritation, urinary signs, and pelvic ache.”

Some individuals might even bleed after intercourse with out ache or different signs, she says.

Repair it

In case you assume you might need an STI or different an infection, see your OB/GYN for testing.

Therapy for vaginal infections depends upon the kind of an infection you’ve got. STIs and BV are handled with antibiotics or antiviral drugs, whereas vaginal yeast infections are handled with topical or oral antifungal drugs.

2. Vaginal dryness

Vaginal dryness is a standard reason behind bleeding after intercourse, says Kelly Culwell, MD, OB/GYN, often known as Dr. Woman Physician. Dryness “makes the vagina extra delicate and weak to irritation or tears throughout vaginal intercourse,” she explains.

Whereas pure lubrication of your vaginal partitions can ebb and move all through the month, excessive dryness often occurs when your estrogen ranges are low, says Dr. Culwell, like throughout menopause or perimenopause (i.e., the transition to menopause). Based on the American Faculty of Obstetricians and Gynecologists (ACOG), decrease estrogen ranges are additionally frequent after childbirth and in the course of the postpartum interval, in addition to while you’re breastfeeding or chestfeeding.

Repair it

Add some moisture to your vagina by making use of a lubricant earlier than intercourse.“There are additionally vaginal moisturizers that can be utilized regularly (not simply earlier than intercourse), particularly in case your dryness is bothersome at any time of day,” notes Dr. Cullwell. One to strive? Foria’s Midlife Magic set.

3. Vaginal atrophy

Throughout perimenopause, your vaginal tissues may get skinny and delicate, much less elastic, and weak to tears, in any other case often known as vaginal atrophy, says Alyssa Dweck, MD, chief medical officer at Bonafide Well being. When mixed with low estrogen ranges and vaginal dryness, chances are you’ll turn out to be extra prone to bleed after intercourse.

“Blood is likely to be shiny pink with a reasonable move, or pink with mild move, and is often accompanied by ache or burning,” says Dr. Dweck.

Repair it

Identical to with dryness, bleeding from vaginal atrophy may be prevented by utilizing a vaginal lubricant. Dr. Dweck suggests discovering a vaginal moisturizer with hyaluronic acid as a important ingredient. Getting prescribed a vaginal estrogen cream by your gynecologist may also be useful, she provides.

4. Vaginal or anal tearing

Vaginal bleeding can occur on account of tough intercourse, anal intercourse, or having sexual activity for the primary time, says Ila Dayananda, MD, MPH OB/GYN and chief medical officer of Oula Well being. That is often as a result of delicate tissue in your genital or anal space tearing or turning into broken.

Repair it

“If bleeding is from tough intercourse, permitting time for therapeutic and practising gentler sexual exercise might resolve the difficulty,” says Dr. Dayananda. “Lubricants can also be useful.”

In some circumstances, hormone remedy mixed with lubricants and moisturizers can alleviate signs, particularly in case you are in perimenopause. However after all, speak to your physician to see whether or not hormone remedy is best for you.

5. Cervical polyps

In some circumstances, bleeding after intercourse may be from small (sometimes innocent) growths in your cervix referred to as cervical polyps, says Dr. Dweck.

“Bleeding [from polyps] is often shiny pink and may trigger important move for some individuals,” she provides. Despite the fact that the causes of cervical polyps aren’t absolutely understood, they’re pretty frequent, says Dr. Dweck.

Repair it

Cervical polyps are sometimes discovered throughout a routine gynecologic examination, a colonoscopy, or a transvaginal ultrasound, based on the Nationwide Library of Drugs.

“Whereas most polyps will fall off or go away on their very own, some can develop fairly massive and should require surgical removing,” says Dr. Dweck. Some individuals might must see the physician regularly to keep watch over them.

In case you assume polyps are the wrongdoer, make an appointment along with your gynecologist to get them checked out.

6. Being pregnant

Vaginal bleeding whereas pregnant all the time warrants a visit to the OB/GYN. However consider it or not, mild bleeding or recognizing in the course of the first trimester of being pregnant is definitely fairly frequent. The truth is, about 15 to 25 p.c of pregnant individuals bleed in the course of the first trimester, based on ACOG.

This may be from the implantation of the fertilized egg in your uterus, or further blood move to your cervix, which may make you extra weak to vaginal bleeding, per ACOG. Recognizing whereas pregnant may also occur throughout a pelvic examination or after intercourse.

Repair it

Despite the fact that mild vaginal bleeding in your first trimester is just not dangerous, you must nonetheless let your OB/GYN know when it occurs. They will help you rule out any doubtlessly severe causes of bleeding, simply in case.

7. Hardly ever, it might imply cervical most cancers

It is fairly uncommon, however bleeding after intercourse can typically imply most cancers, says Dr. Dayananda. You may doubtless produce other signs in addition to postcoital bleeding, like irregular bleeding between durations or bleeding after menopause, she provides. “Some individuals can also have pelvic ache or ache throughout intercourse,” she provides.

Threat elements for cervical most cancers embrace smoking, a earlier chlamydia an infection, long-term contraception use, and a household historical past of such a most cancers. The best danger issue, although, is the human papillomavirus an infection (HPV), which is why common screenings for HPV and common pap smears are essential, per the American Most cancers Society.

Repair it

Be sure you’re getting routine pap smears and HPV screenings, as these will help detect cervical most cancers in its early levels and forestall severe circumstances. “Early detection is essential for higher outcomes,” emphasizes Dr. Dayananada.

And naturally, you should definitely convey up any “out of the atypical” signs you feel to your gynecologist.

When to see a health care provider

More often than not, vaginal bleeding after intercourse is a one-time deal and is not trigger for concern, says Dr. Bulgarelli. But when your bleeding persists, occurs each time you’ve got intercourse, or may be very heavy, attain out to your physician.

You must also name the physician if bleeding comes with different signs like vaginal discharge, pelvic ache, and weird odors, provides Dr. Bulgarelli. That is very true if you happen to’re previous menopause and have vaginal bleeding, no matter frequency or severity.

The underside line? Many individuals with vaginas expertise bleeding after intercourse at one level or one other. So no must panic! In case you’re ever not sure, although, you’ll be able to all the time name your physician about your signs and schedule an appointment.

Effectively+Good articles reference scientific, dependable, latest, strong research to again up the knowledge we share. You’ll be able to belief us alongside your wellness journey.

  1. Tarney, Christopher M, and Jasmine Han. “Postcoital bleeding: a evaluate on etiology, analysis, and administration.” Obstetrics and gynecology worldwide vol. 2014 (2014): 192087. doi:10.1155/2014/192087

Bleeding After Intercourse: Causes, Signs, and Therapy

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