Prerequisites for contact bleeding. What are the causes of bleeding after intercourse in a girl?

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A fairly common complaint among some representatives of the fair sex is the formation of bleeding during or after sexual intercourse. Why does this pathology occur? When is urgent medical attention needed? How to stop bleeding after sex? You will read about this and much more in our article.

Causes of bleeding during or after sexual intercourse

The entire range of potential causes of bleeding during or after sexual intercourse can be divided into two categories. The first includes physiological factors, and the external circumstances of the second are formed exclusively due to diseases, syndromes and other pathologies.

Physiological

The most typical and well-known include:

• Virginity. When the hymen ruptures, in the vast majority of cases bleeding occurs during sexual intercourse. It should be noted that if there is a corresponding membrane with a high degree of elasticity during the first sex, it may not rupture, but only partially stretch;
• Incorrectly installed spiral. In situations where a specialized specialist did not place the IUD well enough, it moved after some time, or requires replacement, preconditions may be created for the development of bleeding during or after sex;
• Discrepancy in the size of the genital organs. In situations where the woman’s genital organs are extremely small, and the male partner has a much larger penis and immerses it as deeply as possible, there is a possibility of damage to the mucous membranes and superficial vascular network (if there is a loose structure and predisposition), which will lead to the development of bleeding during time of sex, usually of a minor nature;
• Possible ovulation. If menstruation is about to begin, or a short period of time has passed since its passage, then due to the mechanical influence during sexual intercourse, preconditions for bleeding are created, mainly due to ruptures of the follicles during their natural cycle;

• Presence of menstruation. A natural reaction during sex during menstruation in a woman is increased bleeding;
• Failure to comply with personal hygiene rules. It is not a direct physiological or external cause of bleeding during or after sex, but it can provoke the development of secondary pathologies leading to bleeding.

Pathological

Mechanical damage is a relative variation of discrepancy in the size of the genital organs, but has obvious pathological signs, especially in the case of insufficient lubrication, as well as poor condition of the internal mucous membranes. The amount of blood during sex in this case can be either moderate or significant.

The most typical causes of a pathological nature:

• Local inflammatory processes. Most often we are talking about erosion, but the presence of vaginitis and other problems can have a certain influence;
• Pathologies of the structure of the genital organs. If individual elements of the genital organs are underdeveloped or hypertrophied, preconditions for bleeding after or during sexual intercourse may be created;
• Infections. In the vast majority of cases, the cause of bleeding from the vagina after sex of an infectious nature is chlamydia. Less commonly, other sexually transmitted diseases are a provoking factor;
• Fungal infections. The colonization of a large number of pathological fungi on the inner surface of the genital organs can contribute to the creation of looseness of the vaginal walls and create the preconditions for bleeding during or after sex;

• Volumetric education. First of all, we are talking about benign and malignant tumors. In addition, cysts and other formations of this kind can provoke the development of severe bleeding during sex;
• Other circumstances. May include various blood diseases, taking a number of medications and hormonal contraceptives, cervical endometriosis, and so on, including those caused by genetic heredity.

When is urgent medical attention needed?

First of all, you need to try to independently differentiate the possible cause of bleeding after sex. If it is associated with a physiological or external circumstance, then appropriate lifestyle adjustments are recommended, as well as a more attentive attitude to one’s own health.

Emergency medical care may be required in situations where, simultaneously with intense discharge, very acute pain occurs, radiating to the lower back.

In the same situations, when we are talking about obvious pathology, in any case it is worth visiting a gynecologist. Accompanying symptoms of bleeding are sometimes:

• Paleness of the skin;
• Change in heart rate;
• Blood pressure;
• Increased sweating.

A separate segment in this context are various neoplasms, both benign and malignant. Most often, in the initial and middle stages, they do not manifest themselves acutely, only occasionally making themselves felt by light bleeding during sex of an irregular nature, also implicitly blurred pathological symptoms.

If the problem persists, you should definitely visit a gynecologist.

Hemostatic drugs

A number of medications are used to stop moderate or heavy bleeding during sexual intercourse or after sex. At the same time, they can be used only after a doctor’s prescription, most often the latter, and performs the necessary manipulations, since self-prescription and self-use are fraught with the formation of a wide range of complications.

The most typical options for stopping bleeding with medications in the general case:

• Management of primary hemostatic drugs. Combinations of etamsylate, aminocaproic acid, calcium chloride, proton pump inhibitors, vikasol, sandostatin, cryoprecipitate are usually used;
• Normalization of blood circulation restoration of lost blood. For such events, a specialized specialist uses dextran, disol, as well as a transfusion of plasma or pure whole blood in case of severe blood loss of more than 500 milliliters of fluid.

In addition to direct medications for bleeding after sexual intercourse, tamponing of the internal part of the problematic location, application of cold to reduce the inflammatory process and constriction of blood vessels, and other necessary non-operative actions are also widely used.

Traditional methods

It should be understood that the presence of the corresponding pathology described above after or during sexual intercourse can be attributed to pathological uterine bleeding, which requires mandatory monitoring by a gynecologist or other specialized specialist, especially if the problem is accompanied by the presence of secondary negative symptoms.

Any traditional medicine can only be considered in the context of complementing the rehabilitation period after overcoming the acute phase of the disease.

Moreover, their use must be agreed upon with the attending physician; the corresponding alternative therapy can never be a complete replacement for drug or surgical therapy.

The most famous popular remedies:

• Shepherd's purse. 1 tablespoon of this component is poured into a glass of boiling water and infused for an hour. The liquid is filtered and consumed two tablespoons twice a day 30 minutes before meals;

• Allspice. 200 grams of dried and mashed clove leaves are poured into one glass of hot water, and then placed on low heat (15 minutes). The broth is cooled, filtered and consumed 1 tablespoon 3 times a day;
• Orange peel tincture. You need to take the peels from seven large fresh oranges and pour them into 2 liters of water, then put them on low heat and boil the liquid to 1 liter. The product is cooled and, without straining, consumed together with sugar, 2 tablespoons 4 times a day for a week.

Diagnostic measures

Regardless of the circumstances, in case of recurrent bleeding during or after sexual intercourse, you should contact a gynecologist. A specialized specialist will conduct an initial appointment and examination, record the patient’s subjective complaints, collect anamnesis, and then refer the woman for additional diagnostics.

The following activities are carried out within its framework:

• General blood analysis. Detects the presence of inflammation, anemia, and so on;
• Instrumental diagnostic methods. Most often, ultrasound, computed tomography, MRI, biopsy and other measures are used as necessary;
• Blood clotting test. Allows ongoing monitoring of this function;
• Smear. Confirms or excludes an infectious disease or fungal infection;
• Biochemistry of blood. The condition of the liver and kidneys, as well as the functioning of the thyroid gland, is assessed quantitatively;
• Hormone analysis. Detects the level of progesterone and other hormones that affect the potential for bleeding.

Preventive measures

Despite the fact that bleeding after or during sexual intercourse is just a symptom, it usually indicates a serious pathology that requires qualified treatment.

In the absence of treatment, the quality of sexual life significantly deteriorates, difficulties arise in conceiving a child, and preconditions are created for anemia, sepsis and other acute conditions that directly threaten both the health and, in some cases, the life of the patient.

The treatment procedure for the above pathological circumstances is individual, since the development of bleeding depends on the specific cause. In general, both conservative therapy and surgical intervention are used if necessary.

That is why it is advisable to follow basic preventive measures to prevent the development of such pathologies:

• Mandatory treatment of any diseases, both local and systemic;
• Timely preventive examinations from a specialized specialist, including tests for infections;
• Regular adherence to personal hygiene rules;
• Lifestyle correction, including giving up bad habits, following the principles of rational nutrition, regular moderate physical activity, hardening, and so on.

Olesya Ematova

Good afternoon. This question worries me very much. I bleed during intercourse. Quite abundantly, bright red. This has been going on for six months already, always only 6 days before the start of menstruation, on the remaining days of the cycle there are no problems. Actually, the blood itself is very similar to the beginning of menstruation, only the next day there is nothing or a small smear that goes away in the evening, and the period eventually comes on time. No pain. I am 32 years old, I have been sexually active since I was 18 years old, I have had a constant sexual partner for 7 years, my periods started at the age of 13, the cycle is 28 days, duration is 7 days, regular, of medium abundance. At 27 years old, I had a cleanse at 10 weeks due to a frozen pregnancy (frozen at 6 weeks), there were no complications. At the age of 28, cauterization of erosion with surgitron. At the age of 29, the first and only birth (natural, without pain relief, complications, on time). Result of extended colposcopy: the cervix was treated with a 5% acetic acid solution. OSE color is pale pink, the surface is rough. Ectopia is not determined. The unfinished transformation zone is vast. The boundaries between OSE and CE are defined throughout. The lateral glands are determined, the prostate glands are determined, the rim of the glands is normal. Aceto-white epithelium is determined in the transformation zone. The boundaries are clear, appear slowly, and do not last long. The vascular network (green filter) is not visualized. Atypical vessels are not visualized. The neck was treated with Lugol's solution: the coloring is not uniform, mottling. Colposcopic lesion degree 1, active transformation zone. There are no indications for a biopsy. A drawing for colposcopy, tests for hormones, infections, smears and cytology are included. I would be very grateful for your help: a presumptive diagnosis, what other tests need to be taken and is it necessary, is it possible to plan a pregnancy at this stage? --- Results of all tests --- I will add that according to the results of the ultrasound of the uterus and ovaries, no pathology was revealed, the hormones testosterone, progesterone, d-dimer, TSH, DHEA-so4, Prolactin, PROthrombin according to quick and INR are within normal limits. Analysis for latent infections (herpes simplex virus, cytomegalovirus, chlamydia trachomatis, ureaplasma urealyticum, mycoplasma genitalium, mycoplasma hominis, HPV types 16 and 18 - not detected). Sorry for the long question.

Photo attached to the question

To identify the cause of bloody discharge from the genital tract, I recommend repeating an ultrasound examination of the pelvic organs before and after menstruation; when performing colposcopy, a description of the condition of the vagina is necessary. It is advisable to expand the range of types, in addition to HPV 16 and HPV 18, HPV 31, HPV 33, HPV 35, HPV 39, HPV 45, HPV 51, HPV 52, HPV 56, HPV 58, HPV 59 and HPV68 should also be excluded. At the preparation stage, you should identify the cause of a missed abortion in the anamnesis, and therefore I recommend undergoing a comprehensive examination Determination of the hormonal profile - FSH (follicle-stimulating hormone), LH (luteinizing hormone), Prolactin, Estradiol, 17-OH-progesterone, Androstenedione, Androstenediol glucuronide, DHEA sulfate (dehydroepiandrosterone sulfate), total testosterone, free testosterone, dihydrotestosterone, SHBG (sex hormone binding globulin) Determination of thyroid hormones - TSH (thyroid-stimulating hormone), T4 (thyroxine), T3 (triiodothyronine), Anti- TG (antibodies to thyroglobulin), Anti-TPO (antibodies to microsomal thyroid peroxidase), Thyroglobulin Study of vaginal biocenosis and culture of the flora of genital discharge with determination of sensitivity to the main range of antibiotics and bacteriophages Sexually transmitted infections (chlamydia, mycoplasmosis, ureaplasmosis , trichomoniasis, gonorrhea, herpes, HPV, etc.) Hemostasis indicators Fibrinogen, Prothrombin, Thrombin time, APTT, Antithrombin III, Lupus, D-dimer, Protein-C Study of the TORCH complex Determination of the genetic risk of blood coagulation disorders (FGB, F2 , F5, SERPINE1, ITGA2, ITGB3) Detection of antiphospholipid syndrome - APS- (determination of IgM and IgG class antibodies to phospholipids: cardiolipin, phosphatidylserine, phosphatidylinositol, phosphatidylic acid). Determination of genetic defect of folate cycle enzymes (MTHFR, MTR, MTRR) Genotyping of a married couple, HLA class II (DRB1, DQA1, DQB1 loci)

Consultation with a gynecologist on the topic “Blood during sexual intercourse” is given for informational purposes only. Based on the results of the consultation received, please consult a doctor, including to identify possible contraindications.

About the consultant

Details

Professor of the Department of Obstetrics and Gynecology No. 1 of the First Moscow State Medical University named after. I. M. Sechenova, Doctor of Medical Sciences, doctor of the highest qualification category.

Sphere of professional interests: diseases of the cervix; sexually transmitted infections; uterine fibroids; endometriosis; adenomyosis; endometrial hyperplasia; prediction and prevention of uterine cancer; infertility; preparation for pregnancy; early miscarriages; Ultrasound; ECO.

Postcoital bleeding - This is bloody discharge that occurs in a woman after sexual intercourse. They are one of the frequent complaints of women when visiting a gynecologist. The causes of such bleeding or spotting are very different, but consultation with a doctor is necessary to find out the cause and take measures to cure the disease that is responsible for what is happening.

Causes of spotting after sex

• Mechanical. They happen from injuries or microtraumas that a partner receives during a too violent intimate relationship: damage to the mucous membrane of the vagina or cervix, as well as a more serious problem - injury to the walls or vault of the vagina. If sharp pain and/or heavy bleeding occurs during sexual intercourse, you should immediately consult a doctor.
• Inflammatory diseases of the female genital organs, such as inflammation of the vagina - vaginitis - or inflammation of the cervix - cervicitis. With such diseases, bleeding may not be associated with sex, occurring spontaneously and at rest. The inflammatory process can be caused by fungal and bacterial infections, poor personal hygiene, and also caused by taking certain medications. Inflammation occurs against a background of reduced immunity and is treated with antibiotics.
• Sexually transmitted diseases (STDs) can also cause post-coital bleeding from the genitals and may be accompanied by burning and itching.
• Erosions and polyps are among the most common culprits; they can bleed after sexual intercourse and require timely treatment. Erosions are most often cauterized using various methods, and polyps are removed.
• sometimes manifested by bloody discharge, including after coitus.
• . Signs of this disease may include abnormal bleeding: in the middle of the cycle, spotting before and after menstruation, as well as blood after intimate relationships.
• Ovulatory bleeding. In itself, it does not depend on sexual intercourse. But if you notice blood in the middle of the cycle, on the days closest to ovulation, then most likely this is a sign of ovulation. It does not require special treatment. Although the doctor may prescribe herbal preparations.
• . When taken, the lining of the uterus becomes thinner and may bleed after sex. Also, failure to take the next pill on time or skipping it leads to pseudomenstrual bleeding. When taking OCs, bleeding can also be a side effect. A doctor's consultation is necessary here. If the drug does not suit you, it needs to be replaced.
• In rare cases, the cause is pathological changes in the cells of the cervix and uterine tumors.
• It should be mentioned that a partner can also cause spotting after sex. Blood in semen is a rare phenomenon, but it does occur due to certain diseases, such as urinary tract diseases.

When pregnant women have placenta previa and the threat of miscarriage, having sex is dangerous for both the health of the mother and the life of the baby.

Most post-coital bleeding can be easily treated by a doctor, so don't delay calling one.

Important: if bleeding is accompanied by painor it is abundant, then you need to consult a doctor immediately.

In rare cases, internal bleeding occurs. It is not always accompanied by signs of external bleeding. Its main symptom is sharp, cramping pain in the lower abdomen, inguinal folds, lower back and perineum. Internal bleeding is symptoms of diseases such as:

Accompanied by the following symptoms:

• Postcoital bleeding with sharp pain;
• Paleness of the skin;
• Tachycardia;
• Profuse sweating;
• A sharp decrease in blood pressure;
• Dizziness, weakness.

An ambulance should be called immediately, as all these symptoms may indicate internal bleeding.

When bleeding begins during intimacy, especially if menstruation is not soon, frightening thoughts appear that gynecological diseases or unfavorable pathological processes are occurring in the body. In order to find out why there is bleeding during sexual intercourse, you first need to consult a doctor, since it is important to take timely measures to eliminate the problem.

Prevalence of the phenomenon

Pathological bleeding is in no way related to the menstrual cycle and can appear at any time. They can be invisible or, conversely, quite intense, often accompanied by pain at the time of sexual contact and cause discomfort. This phenomenon, according to medical statistics, is observed in 2−8% of patients at antenatal clinics during the fertile period, and only 30% of women seeking help suffer abnormal uterine bleeding along with this symptom.

The nature of this type of discharge is revealed by the condition and lesions of the genital organs:

• blood clots that form in the uterus appear when it is involved;
• blood and mucus appear due to a pathological process (for example, inflammation affects the cervix);
• scarlet blood occurs when there is damage and injury to the walls of the vagina and the outer (upper) part of the cervix.

In the case of prolonged and intense bleeding, internal bleeding cannot be ruled out (for example, due to injury). In such a situation, it is necessary to urgently call a doctor, especially if, in addition to discharge, there are the following signs:

• bloating;
• unbearable abdominal pain of a prolonged and increasing nature;
• pale skin or mucous membranes;
• cardiopalmus;
• weak pulse;
• sweating (usually cold sweat);
• shortness of breath and weakness;
• low blood pressure, fainting, severe dizziness.

Bleeding that occurs in the vagina during sexual intercourse is called postcoital. They are a type of pathological discharge, accompanied by tolerable or unbearable pain, which does not always confirm diseases threatening the life and health of a person, but does not exclude unfavorable signs.

Therefore, if blood began to bleed during sexual intercourse, it is important to visit a gynecologist and get examined. The same should be done in case of bleeding before or after sex: this will help to identify the cause in time.

Causes of bleeding

Safe causes of bleeding during intimacy include virgin sex, which contributes to rupture of the hymen. This is considered a normal phenomenon, which is confirmed by the appearance of several bloody drops, odorless and timely stopping of bleeding. It is worth considering that defloration sometimes does not occur the first time, and the final loss of virginity occurs after the first birth, when the hymen is completely torn.

Unfavorable reasons include:

• intimate relations with a man who has a large penis, as well as the use of masturbation devices, which often leads to injuries to the female genitalia;
• sexually transmitted diseases and infections that can be sexually transmitted;
• excessive use of contraceptives, vaginal contraceptives and antibiotics, which belong to the class of hormonal, as well as blood thinners;
• the growth of polyps on the neck and the formation of a tumor (in such cases, an exclusively benign tumor is observed);
• thinning, hemorrhoids, endometriosis, erosion and vaginal dryness;
• frequent sex or prolonged absence of sex;
• E. coli, cervicitis, vaginitis, vaginal candidiasis, human papillomavirus (HPV);
• installation of a spiral inside the uterus (promotes mechanical friction, as a result of which wounds often form on the walls of the uterus).

When blood flows during intercourse, discomfort occurs for both partners. However, it is more important to think not about this, but about a serious signal confirming violations affecting not only the reproductive organs, but also the entire female reproductive system. None of the above reasons is normal, so if there is severe bleeding, hospitalization cannot be ruled out.

It should also not be ruled out that spotting during sexual intercourse can occur during the entire time of intimate relations with a partner, after it, or after a certain time. If this happened during or after sex with a partner, injury cannot be excluded, the consequences of which, as a rule, indicate rape, the use of force or rough treatment of the partner.

When blood is released over time, the possibility of abuse cannot be ruled out. This rather suggests that the injury is not as serious as in the first case.

Physiological signs of bleeding

Bleeding during sexual intercourse can also be detected by physiological signs. Therefore, it is worth taking into account circumstances such as ovulation, in which sexual intercourse takes place in the middle of the cycle, as well as the appearance of blood shortly before menstruation, which is evidence of the entry of a fertilized egg into the organ necessary for its development - the endometrium.

In addition, bleeding from the vagina can also occur during the first weeks after an abortion, vacuum or birth of a child and can be observed until the uterus is completely restored, if it is damaged. It is also considered normal to discharge with blood after sexual intercourse during pregnancy, however, despite the fact that this phenomenon does not require special treatment, it is recommended to report this case to the observing gynecologist.

Disease detection and diagnosis

To clarify the reasons and find out why blood begins to bleed after close contact with a man, The doctor uses the following diagnostic methods:

1. The cervix is ​​examined to exclude diseases and symptoms of erosion, ectropion, as well as polyps and ulcers of the cervical canal.
2. Anamnesis is ascertained: the woman’s weight and age, bleeding time, its period and duration, the presence of gynecological diseases, and poor test results and diseases are studied.
3. A gynecological smear is examined and diagnosed to exclude chlamydia and sexually transmitted infections.
4. A transvaginal ultrasound is performed, which makes it possible to evaluate the performance of colposcopy (such an examination is carried out if there is a suspicion of the presence of a precancerous condition of cells and an unfavorable tumor in the uterus).
5. At the slightest suspicion of endometriosis and malignant neoplasms of the cervix, a pipell biopsy is prescribed.

There are circumstances when bleeding during sexual intercourse recurs even with a satisfactory colposcopy picture and a positive test result. In this case, an additional biopsy is prescribed simultaneously with hysteroscopy, which makes it possible to examine the inner layer of the uterus.

However, doctors do not consider colposcopy a mandatory research method. Diagnostics are carried out rather for informational purposes in order to find out the status of suspicion of possible pseudo-erosion, tumors and lesions of the uterus. Postmenopausal women are prescribed one of the following diagnostics: an endometrial biopsy or a simple ultrasound examination of the uterus and internal female genital organs.

Treatment methods and prevention

Blood discharge after intimate intercourse, before or during it, is not a disease and is regarded by doctors as an ordinary symptom. To eliminate this symptom, it is necessary to calculate the cause of the pathology and only after that treat it. However, it must be taken into account that it is not always possible to identify pathology, because dangerous diseases are not diagnosed. In this case, doctors recommend not to forget to visit a gynecologist and regularly undergo the necessary tests.

If, during the next examination at the antenatal clinic, new symptoms are discovered that indicate symptoms of diseases of the liver, thyroid gland, kidneys or blood coagulation system, all treatment will be aimed primarily at these diseases.

Treatment methods:

• prescription of progesterone drugs;
• surgical intervention and removal of polyps, hemangiomas or other non-malignant neoplasms - if present;
• a course of antibiotics;
• prescribing hormonal drugs in case of endometriosis (if necessary, the disease can be treated with surgery);
• curettage of the uterus (performed in case of excessive bleeding caused by rough sexual intercourse, which is extremely rare);
• complex treatment under the supervision of a gynecological oncologist.

It is worth noting that blood during sex during pregnancy is not dangerous, but only if it is a short-term symptom. In this case, it is recommended to reduce sexual activity and be sure to inform your obstetrician about this. If you experience any pain in the abdominal area, you should urgently seek help from a doctor: this condition often accompanies the threat of miscarriage.

Preventive measures include maintaining intimate hygiene, using contraceptives (condoms) and lubricants for dry vagina, and avoiding promiscuity. It is recommended to stick to a regular partner and regularly undergo examinations by a gynecologist.

Any bleeding indicates that there is a malfunction in the body, including blood after sex. Its appearance can be a consequence of many factors, and finding the cause of the appearance of blood is the main task of a woman who cares about her health.

The individuality of the female body can make self-diagnosis difficult, because the intensity, frequency and abundance of discharge manifest themselves in different ways. Each specific case should be examined by a specialist who will explain why you have spotting.

What should I do?

First of all, a woman needs to consult a gynecologist. If this is a one-time appearance of blood and nothing like this has been observed before, then you can consult your doctor by phone. He will ask the right questions and assess the overall situation, and if in doubt, he will invite you to a consultation. In any case, the doctor should be notified at the slightest alarming symptoms.

If treatment is prescribed, it must be strictly followed. If there were no instructions from the doctor, then you should simply carefully monitor your further condition after sexual intercourse.

Causes

You need to understand that if intercourse ends with the appearance of even a small amount of blood, this is a deviation from the norm. There are many reasons for this:

• inflammatory processes of various types;
• mechanical damage;
• venereal diseases;
• taking medications;
• neoplasms (benign and malignant);
• disorders at the cellular level;
• interrupted pregnancy;
• bleeding due to ovulation;
• partner's fault;
• natural reaction.

Let's look at each possible reason in detail.

Inflammatory process.

Inflammatory processes of various etiologies can be responsible for the appearance of blood after sex. Basically, heavy discharge indicates an advanced stage of the disease. The most common are:

• vaginitis, which is an inflammation of the vaginal mucosa. In this case, slight discharge may occur after sex. In this case, the mucous membrane is irritated, a burning sensation and pain are felt during intercourse and urination.
• cervicitis, which is inflammation of the cervix. Accompanied by minor hemorrhages, pain during sex, swelling and purulent discharge. Symptoms are not always acute and may be asymptomatic.

There's no need to worry. These diseases are easily treatable with antibiotics.

Mechanical damage.

These include the following factors that provoke the possible appearance of blood:

• errors in handling intimate toys;
• too violent sex with hard and sudden movements;
• a significant difference in the size of the genital organs of men and women;
• lack of natural lubrication during sexual intercourse, especially if it is prolonged.

As a result of the above factors, the cervix and vagina may become injured, causing blood stains to appear. To avoid this, you need to monitor the intensity of sexual intercourse, handle intimate toys carefully, and use lubricants.

Venereal diseases.

Some infectious diseases can cause bleeding after sex. They contribute to the penetration of infection into the uterine cavity, vagina and cervix. Such diseases include:

• trichomoniasis. This disease can only be diagnosed by a gynecologist. A woman may not feel any pain or discomfort, observing only a small amount of blood after sex. It is not difficult to cure it, the main thing is to pay attention in time.
• Gonorrhea can also cause bleeding. In addition, there is frequent urination with pain, discharge of pus and swelling of the genitals.
• Chlamydia is usually asymptomatic, so the appearance of blood after sexual intercourse can be an important sign.

Medications.

After taking certain medications, a woman may notice blood stains on her underwear. Mainly:

• Taking medications that thin the blood may cause minor bleeding. Such drugs include the well-known “Aspirin”.
• birth control pills. Severe violation of the dosage regimen or abrupt cessation of their use contributes to the appearance of blood after sex. They can occur during sexual intercourse, after and during the day.

Neoplasms.

Polyps can cause minor or heavy bleeding after sex. This occurs due to the rupture of polyp tissue during sexual intercourse.

Disturbances at the cellular level.

This may include hyperplasia. With this pathology, cell division occurs too actively. Bleeding is not a specific symptom of hyperplasia, but it is worth paying attention to. Often the pathology develops into a benign or malignant tumor.

Endometriosis is characterized by pain during sex and bleeding after intercourse. With this pathology, endometrial tissue grows and is located on nearby internal organs.

Interrupted pregnancy.

If you are sure that you are in excellent health, but there is blood after sexual intercourse, then take a pregnancy test. Bloody discharge in this position can be caused by active contraction of the uterus during sex.

Bleeding due to ovulation.

This phenomenon does not depend on sexual intercourse, but can occur during the period after sex. It appears in the middle of the cycle, closer to the day of ovulation. In this case, special treatment will not be needed.

Natural appearance of blood.

Possibly as a result of rupture of the hymen during the first sexual intercourse. It is possible that after several sexual acts blood will be released. It all depends on the characteristics of the hymen. It is also natural to release blood when menstruation begins.

Partner's fault.

In rare cases, it happens that blood after sexual intercourse indicates its content in the sperm. This is a sign that the partner has problems with the urinary system. Such phenomena are rare, but they do happen.

It is important to understand that elevated temperature and spasmodic pain, along with the discharge of blood from the vagina, are a signal to action and a cause for alarm. In this case, you should immediately consult a doctor or call an ambulance. Bleeding can be a warning sign of serious conditions such as ectopic pregnancy, ovarian rupture, or cysts.

At the present stage of development of medicine, determining the cause of the appearance of blood is not difficult. New equipment is able to detect the slightest changes occurring even at the cellular level. A medical examination, ultrasound, colposcope is not a complete list of services that will allow you to identify and eliminate the problem in a timely manner. By going to the hospital, you not only protect yourself from serious health problems, but also ensure a healthy sex life.