Hi,
Thanks for the query.
The possible causes for post coital spotting are :
- Post coital abrasions or tears.
- Local causes like cervical erosion, polyps etc.
Pelvic infection can present with symptoms like
pain during intercourse, itching at the vagina, cervical erosion etc.
Decreased orgasm could be psychological due to the pain during intercourse or
hormonal or rarely damage to the nerves of
clitoris.
So, if the symptoms persist, consult gynecologist once and get examined.
By examination possibility of pelvic infection, cervical erosion etc can be ruled out.
In case of presence of infection, taking one course of antibiotics may help.
Using lubricants can help in decreasing pain during intercourse.
Take care.