Post Date November, 16 2024
Vaginal bleeding after sexual intercourse
Generally speaking, normal and coordinated sexual activity will not cause vaginal bleeding in a woman. Vaginal bleeding after sexual intercourse often indicates the presence of certain pathological conditions. Vaginal bleeding is a common symptom in gynecology. Blood flows out of the vagina, but the bleeding site may be in the vagina, cervix, or uterus (the latter being more common); The amount of bleeding varies (some may be droplet like, while others may be life-threatening); The bleeding situation varies (can manifest as menstrual disorders, irregular bleeding, or contact bleeding occurring after sexual intercourse or gynecological examination).
The physiological characteristics of women of different age groups vary, and the common causes of vaginal bleeding also vary. Generally speaking, there are several main reasons for vaginal bleeding after sexual intercourse:
External genital tract injury
1. Hymen damage. The most common is hymen rupture during first sexual intercourse. This type of bleeding usually occurs during sexual intercourse. At that time, there may be pain and bleeding, and the amount of bleeding is usually not significant. If the damage is not severe, the bleeding will quickly stop. However, sometimes when the hymen ruptures and happens to damage the blood vessels in that area, there is more bleeding, which requires compression to stop bleeding (such as using clean cotton balls, gauze, clean towels, etc.), and even seeking medical attention.
2. Vaginal laceration. During or after sexual intercourse, vaginal bleeding is found and the amount of bleeding is high, making it difficult to stop and causing prolonged bleeding. Vaginal lacerations often occur during involuntary or very rough sexual intercourse. Vaginal lacerations are also seen in vaginal deformities, such as vaginal mediastinum, transverse septum, double vagina, and vaginal stenosis. After undergoing vaginal plastic surgery, hymen repair, removal of vaginal lumps, and hysterectomy, sexual intercourse can also cause damage when vaginal wounds heal poorly. Improper sexual intercourse posture and position can also lead to vaginal injury and bleeding. The amount of bleeding is related to the location and severity of the injury. There was a woman who suffered from severe laceration of the posterior wall of the vagina to the vaginal vault after being raped, with much bleeding. She went to the hospital six hours later, and had bleeding shock symptoms such as pale face, fine pulse, and decreased blood pressure.
External reproductive tract inflammation
1. Cervical polyp. Cervical polyp may occur when the cervix is stimulated by chronic inflammation for a long time. A single or multiple small granulation tissue with a pedicle grows at the cervix, resembling a bean sprout petal, and the larger one resembles a finger. The texture of polyps is crispy and tender, and they can bleed at the touch, so there may be bleeding after sexual intercourse. This type of bleeding is generally bright red in color.
2. Cervical cancer. Bleeding after sexual intercourse is the earliest symptom. Due to the abundance of small blood vessels in the cancer lesion and the fragility of the tissue, capillaries will bleed due to damage and rupture after sexual intercourse. If the cancer develops further, it is more likely to bleed.
3. Endometriosis. Some endometriosis grows in the cervix, appearing as blue purple nodules. If you encounter this blue purple ectopic nodule during sexual intercourse, it can cause bleeding. The amount of bleeding is generally small, with a dark red color, and abdominal pain often occurs after sexual intercourse.
4. Pelvic inflammatory disease. Inflammation in the pelvic cavity can cause pelvic congestion. If the endometrium is congested and swollen, it can be rented out after sex, but this opportunity is rare.
5. Cervicitis (erosion). 90% of married women suffer from Cervicitis. According to the degree of cervical erosion, Cervicitis can be divided into three types: mild, moderate and severe. Moderate or above cervical erosion can cause damage and bleeding when the male penis rubs against the cervix during sexual activity. Because this type of bleeding is minimal, it does not immediately flow out, but accumulates in the vagina, and the color of the blood changes from fresh to old. So when it flows out the next day, the blood appears dark red.
External malignant tumors:
1. Cervical cancer is one of the common causes of bleeding after sexual intercourse. Most cervical cancer patients have no discomfort symptoms in the early stages, and bleeding after sexual intercourse may be the only symptom of early cervical cancer. The rare Vaginal cancer can also cause bleeding after having sex. Therefore, if a female friend finds that she has vaginal bleeding or bleeding secretions after sexual intercourse, she should be alert and go to the hospital as soon as possible to check whether she has cervical cancer and other gynecological malignancies.
2. There are many reasons for female sexual bleeding, which can be roughly divided into two categories: improper sexual intercourse and local organic diseases of the Female reproductive system, and the latter is more common. If vaginal bleeding occurs after sexual intercourse, do not panic, seek medical attention as soon as possible, identify the cause of the bleeding, rule out malignant tumors such as cervical cancer, and seek timely treatment.
3. If you encounter abnormal menstruation, you think your menstruation is clean. As a result, premature sexual intercourse causes Uterine contraction under sexual stimulation, and residual blood in the uterine cavity will be discharged from the vagina. In addition, there are a few women who happen to experience bleeding during ovulation. If there are no abnormalities found in the vagina and cervix during gynecological examination, the above possibilities should be considered.
Reminder: There are many reasons for vaginal bleeding after sexual intercourse, and the reasons for bleeding vary depending on the physical condition. Women must seek timely diagnosis and treatment at a reputable hospital to avoid delaying their condition and the best time for treatment.
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What is the cause of bleeding after sexual intercourse
There are many reasons for post coital bleeding, which can be roughly divided into two categories: improper sexual intercourse and local organic diseases of the Female reproductive system. If you have post coital bleeding, you should go to the hospital in time to check, so as to find cervical cancer as soon as possible, and treat it as soon as possible. You should also pay attention to the personal hygiene of yourself and your Sexual partner, and pay attention to relaxation in daily life.
There are many gynecological diseases that cause intra uterine bleeding, such as Cervical polyp, cervical erosion, submucous Uterine fibroid, post coiling, senile Vaginitis, cervical cancer, Vaginal cancer, etc. Cervical erosion and Cervical polyp are all manifestations of chronic Cervicitis. Cervical polyp is caused by the stimulation of chronic Cervicitis. It is formed by the local hyperplasia of the cervical canal mucosa and gradually protruding outward. Its surface is covered with a layer of columnar epithelium, with rich microvessels, which is easy to bleed when touched. Cervical erosion is also caused by long-term inflammatory stimulation, which causes the squamous epithelium on the surface of the cervix to detach, and the exfoliated surface is gradually covered by columnar epithelium derived from cervical canal hyperplasia. The columnar epithelium is very thin, with blood vessels and stroma below it, and it is also prone to bleeding during sexual intercourse.
Women with submucous Uterine fibroid, especially the submucous Uterine fibroid protruding from the cervix, are prone to ulceration and infection on the mucosal surface, so they will have sexual bleeding. Women who use intrauterine devices for contraception sometimes experience sexual bleeding because the intrauterine device is a foreign object in the uterine cavity, and its mechanical compression can cause local damage, necrosis, and ulcers of the endometrium, which may lead to bleeding. In this case, stimulation of sexual intercourse can cause bleeding. The early manifestation of Cervical cancer can also have the same room bleeding, which is why we should pay attention to the same room bleeding.
The cervix of patients with early Cervical cancer may not have obvious changes, or cancer may coexist with cervical erosion. Cervical cancer is easy to bleed after touching, most of which is caused by invasion of interstitial blood vessels by cervical cancer tissue. Postmenopausal women, due to the lack of estrogen, are prone to senile Vaginitis. At this time, the vaginal mucosa becomes thinner, and may also damage the vaginal mucosa when having sex, causing bleeding.
What to Do with Intrasexual Bleeding During Pregnancy? After IUD, Intrasexual Bleeding. What Drugs to Take for Intrasexual Bleeding? What Is the Cause of Intrasexual Bleeding in Couples? Can Intrasexual Bleeding Be Pregnant
What should be checked for bleeding after sexual intercourse
Intrasexual bleeding is caused by trauma to the cervical surface, suffering from cervical erosion and polyps, and sexual bleeding is a common symptom. Cervical polyp is a manifestation of chronic Cervicitis. The root of one kind of polyp is attached to the cervical orifice or cervical tube, which is formed by the local proliferation of cervical mucosa under the stimulation of inflammation and protruding from the outer mouth of the cervix. Generally, women with Cervical polyp have no symptoms of discomfort. Sometimes there are more leucorrhea, blood filaments in leucorrhea, or bleeding in the same room. If the above conditions are found, you need to go to the hospital for a routine leucorrhea, cervical scraping, and if necessary, you need to do a cervical TCT. Once Cervical polyp is found, it should be removed surgically.
The treatment of cervical erosion first requires a cervical smear to exclude precancerous lesions, and then a pathogenic examination of cervical secretions to confirm which pathogen is causing it. If necessary, pathogen culture and drug sensitivity can be performed to select sensitive drugs for treatment. There are local and systemic medications for drug therapy, but physical therapy is better for the treatment of moderate to severe cervical erosion, such as laser, microwave, Bom light, red light, LEEP knife, etc. It is recommended that you choose a suitable treatment method under the guidance of a doctor and undergo standardized treatment, which can be cured. After being cured, there is no impact on pregnancy.
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What to do with vaginal bleeding after sexual intercourse
If a woman experiences bleeding after sexual intercourse, the first step is to identify the cause of the bleeding. Intrasexual bleeding caused by local organic lesions in the female external genitalia can be cured by healing the local lesion. If external genital ulcers, external genital eczema, or external genital herpes cause sexual bleeding, antibiotics should be used to eliminate inflammation first, and eczema and herpes should be cured. Sexual bleeding will naturally heal. If vaginal trichomonas cause sexual bleeding, metronidazole should be used to treat trichomonas first. After trichomonas are cured, sexual bleeding will naturally heal. If sexual bleeding is caused by improper sexual intercourse, couples should learn sexual knowledge together, be considerate of each other, cooperate fully, and adopt appropriate sexual intercourse methods and positions.
However, most of the post coital bleeding is caused by organic diseases of the reproductive system, for example, cervical erosion combined with severe Cervicitis can cause bleeding. Cervical polyp, actually a manifestation of Cervicitis, may also lead to bleeding. Cervical cancer may cause bleeding. Cervical canal and endometrial lesions may also cause bleeding.
Don't be too nervous about bleeding after sexual intercourse, but be sure to go to the hospital for examination to rule out cervical cancer. Now the incidence rate of cervical cancer is getting higher and higher, increasing at a rate of 2% -3% every year, and it is becoming younger and younger. It is recommended to go to the hospital for inspection and timely diagnosis and treatment to avoid delaying the disease.
What to pay attention to when bleeding after sexual intercourse
When a woman experiences sexual bleeding, the first step is to identify the cause of the bleeding. Sexual intercourse bleeding caused by local organic lesions in the female external genitalia can be cured by healing the local lesions. If sexual bleeding is caused by external genital ulcers, external genital eczema, or external genital herpes, antibiotics should be used to eliminate inflammation first, and eczema and herpes should be cured. Sexual bleeding will naturally heal. If sexual bleeding is caused by vaginal trichomonas, metronidazole should be used to treat trichomonas first, and sexual bleeding will naturally heal after trichomonas are cured.
If sexual bleeding is caused by improper sexual intercourse, couples should learn sexual knowledge together, be considerate of each other, and cooperate fully. Women should relax mentally, while men should move gently and avoid being rough during sexual intercourse.
Postmenopausal elderly women can apply ointment to the external genitalia during sexual intercourse to improve vaginal smoothness and prevent atrophy. It is necessary to moderate sexual activity and prohibit sexual intercourse during women's menstrual period. Women over 40 years old should be alert to the possibility of malignant genital lesions due to sexual bleeding.
