Hi,
According to your complaints, the common cause will be dryness.
Dryness due to infection, improper foreplay leads to dry sex and injury,
dehydration due to decreased water intake or diabetes, increase age causes
vaginal dryness, hormonal imbalance since you had menopause
1. Infection in the vagina can also cause spotting along with pain, swelling or itching
2. Forceful sex can cause injury and spotting
3. Benign or malignant polyp. can cause spotting and painful sex
4. Foreign bodies due to unhygienic sex, sex toys
5.
Vaginismus -anxiety can cause pelvic
muscle contraction and cause injury
6. Eczema
7. Deep penetration can cause injury and spotting.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. S.R.Raveendran,
Sexologist