Bleeding during sex may be noticed in the course of, or after intercourse (post-coital bleeding). It is not a normal phenomenon and warrants medical attention. If you notice that you tend to bleed after making love, consult a doctor at the earliest.
The causes of post coital bleeding can be broadly divided into four groups:
* Cervical cancer
* Cervical dysplasia
* Vaginal cancer
* A cut or sore in the vagina
* Vigorous sex resulting in injury
* Vaginal dryness resulting in injury during normal sex
* Intrauterine devices can cause bleeding from irritation and friction
* Lowered estrogen level as in perimenopausal or post menopausal woman.
* Drying and narrowing of the vagina
* Hymen rupture during first intercourse — this is normal and should not cause
* Chlamydia infection
* Gonorrhea infection
* Vaginitis or cervicitis
* Trichomonas vaginalis
* Vaginal yeast infection
* An abnormal growth in the vagina or cervix such as polyps
* Endometritis or adenomyosis
* Uterine polyps
* Fibroid tumors
Your doctor may need to do a few tests to determine the cause of bleeding.
Treatment depends on the underlying cause. If it is due to infections treatment of infection is required. If it is due to vaginal dryness at menopause, use of lubricants is advised.
It is important for you to understand the following points about post-coital bleeding.