Bleeding After Sex – When To Worry

naza-profile-photoBleeding after sex is no small matter.

This can easily affect you psychologically, having you worried after, or even during lovemaking.

Unless your periods are irregular or if you are 45 and above, infection is most likely the cause.

Infection often gives additional symptoms such as itchiness, bad odor and abnormal discharges, all of which may be noticed before one realizes any bleeding or pain (which may accompany) during sex.

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Irregular Menses

If you are experiencing irregular menstruation, this might answer the question. You might not realize that your menses have coincided with your sexual intercourse and might seem like the bleeding is because of intercourse. Get your calendar and pay attention to the characteristics of the blood. Other than lower abdominal pain in the first few days of menses, no additional pain should be felt when this happens.

Cancer

Being in your late 40s is a criteria for regular gynecological check-ups. Bleeding at this age, with or without intercourse, calls for a doctor’s visit to determine the source of bleeding. Cervical cancer is the number one suspect which should be ruled out during your visit. Endometrial Cancer is rarer but also a possible cause.

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Abrasions and Injuries

Rough sex may also cause tears and lacerations of the vaginal walls. Should this happen, wash and apply antiseptic with alcohol or povidone immediately to prevent any infection. Strict hygiene should be practiced.

Friction may be experienced during intercourse when the vaginal walls are dry. This may cause bleeding and pain during sex. A decreased level of oestrogen in your body is a more common cause compared to severe dehydration; thus, women who are approaching menopause or after menopause might wish to apply lubricants prior to intercourse.

Sagging of the cervical/vaginal wall, also popularly known as a polyp, may bleed when slightly touched. Bleeding may be slightly profuse and may be accompanied by yellowish discharge at times. If bleeding doesn’t stop, vaginal packing (applying pressure on the vagina with a gauze) and immediate visit to a doctor is necessary.

Possible causes: – Infection – STDs – Cancers – Polyps – Abrasions – Others

What to do

When you are experiencing any kind of vaginal bleeding, it is best to abstain from sex for the time being until you see a doctor. This will get your bleeding controlled and allow you to monitor its characteristics – whether or not it happens after intercourse, its frequency, amount and its constancy. Besides, it will help prevent spreading of unknown underlying infection. If bleeding is profuse, as mentioned above, vaginal packing with mild pressure should be applied and immediately see a doctor.  Pain can be temporarily relieved by aspirin or diclofenac found at any pharmacy.

Be sure to practice a strict hygiene as any injury or abnormality of the vagina or cervix is a welcoming sign to infection. Washing after your visit to the toilet assures safety from gonorrheal or other bacterial infection. Be sure to consult Our Doctors before taking any over-the-counter antibiotics, as they may aggravate fungal infection if the fungus is the culprit. Watch out for other abnormalities and changes, such as pain, increased or continuous bleeding and any kind of discharge.

If the bleeding is continuous or stops then occurs again or is painful or you have a discharge, please see Our Doctors immediately.

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Where to find us.

Related topics.

More on vaginal discharge.

Vaginal bleeding.

Candida (Yeast/vaginal thrush)

Bacterial vaginosis

Trichomoniasis

Chlamydia

Gonorrhoea

If you have any questions, visit our free online forum on sexual health, HIV and STDs.

Dr (Ms) De Souza

MD (Russia), MMed (Obs&Gyn)

902 Comments

  1. Hi, I would like to seek your professional advice on my current condition. Last month, I started to have spotting about 10-12 days before my period was due. When my period was due, I had my period as per usual and everything was normal the next two weeks. But the same thing is happening this month. As of now, technically my period is due in 5 days but I still have discharge varying from brown to discharge with very tiny specks of blood. I have no other symptoms, no itching, no pain, no burning, no cramps, no increased lethargy or lack of appetite. Since my period is due in 5 days, I am not sure if I should get it checked now or wait until my period is over? What could it be and what sort of tests would I need to get and how much would it cost roughly? Thank you for your help.

    • There are so many possible causes of your symptoms. The common ones would be infection and hormonal changes. More sinister possibilities are cervical pre-cancer. Womb cancer is possible but rare in younger women. I am not sure what tests you will need. As a rough guide, screening for vaginal infections (including all STDs) $345. Ultrasound of the pelvis $156. Thin Prep PAP Smear $70. HPV tests $240. All prices before GST.

  2. I used metro gel then after 2 diflucan pills (3 days apart) then 2 doses of clitromitazole (I think is what it’s called) yeast infection treatment. I feel like finally my symptoms are starting to clear up, but now I have a little bleeding.I am a tiny bit sore too. I think the applicators kinda scraped my walls as they went in and that’s possibly why the bleeding. Could it be more serious?

    • There can be many causes of your bleeding. If it is related to this episode you had, it can very well be due to abrasions by the applicators. It can also be due to the yeast infection itself. If this is the case, it should clear up rather quickly. If it persists, it could be something more sinister and unrelated. You should then see your doctor.

  3. Hi on sunday my bf and i had rough intercourse,about 20 minutes later we decided to go for another round and this time was a little more roigher than before.. after we finished we noticed the condom had blood on it.when i finally had the chance to lee there was blood almost as if i started my period.the next morning i had urinated again and there was still very light bleeding, almost no bleeding but i could still see the light pinkish color of blood.is this something to worry about?

  4. Pls I have vaginal discharge dat does not smell..but it is sometimes mixed with a little blood and Ihave thick discharge some milky and some redish…I have burnig sensation when I want to urinate and get an uncomfortable feeling down there…am confused…taken drugs but its not workin

    • Certainly sounds like an infection. See your Doctor for some tests to find out what it is. Please do not self-medicate. It can only make things worse.

  5. Hello Doctor,

    My period cycle has been started form yesterday But Still blood isn’t properly discharged.

  6. Hi I had a misscarge when I was 18 then we dissuaded we would try for a baby when I was 19 but it not happening has test done and scans all clear so don’t know what to do I am 22 know still not pregnant can you help me plz thanls

    • You need to see a fertility specialist. There are many tests that need to be done to confirm ovulation, confirm ovulatory reserve, assess tubal patency and function, assess the uterine cavity etc Only when you find out why you are not getting pregnant can your doctor provide the right advice.

  7. Hi,I recently had sex with my boyfriend and I started bleeding. It’s has been 3 hours and I’m still bleeding and cramping.

    • There could be many causes most of which are benign. The intercourse could have stimulated a period. Or you have some abrasions of tears in your vagina. Most of these will subside on its own. Of course, if it persists, please see your doctor.

  8. rachel1

    hi. i had sex on monday .this is where i lost my virginity ,My boyfriend pushed his dick in but he didnt cum..I took the pill postinor right after 2 tables at once .on Wednsday we had sex again but this time we used a condom.I bleed on both occasions .I took another pill postinor single dose.This morning i am still bleeding but is light brown in colour ?i a confused please i need advice .

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