Many couples experience various conditions during sexual intercourse, with some women experiencing mild abdominal pain and vaginal bleeding after intercourse. The occurrence of such symptoms seriously affects normal sexual life, and even makes many women fearful of sexual activity. So, what is the reason for bleeding and small abdominal pain after sexual intercourse?
1. Local organic lesions of the external genitalia, such as external genital ulcers, vaginal trichomonas, external genital eczema, external genital herpes, etc., causing bleeding during sexual intercourse.
2. Improper sexual activity: Due to rough sexual activity, especially in women shortly after childbirth, bleeding during intercourse may be caused by damage to the vaginal wall, and prompt medical attention should be sought.
3. Cervicitis: Cervicitis is classified into three types based on the degree of cervical erosion: mild, moderate, and severe. For patients with moderate to severe cervical erosion, friction between the male penis and glans during sexual intercourse can cause damage and bleeding. After severe sexual intercourse, there may be bleeding, some of which may not immediately flow out but accumulate in the vagina, and the color of the blood changes from fresh to old. When it flowed out the next day, the blood appeared dark red.
4. Cervical polyps: Long term stimulation of the cervix by chronic inflammation can lead to cervical polyps. Single or multiple pedunculated small granulation tissues grow from the cervix, resembling soybean sprouts or larger than a finger. Polyps have a crispy and tender texture, and they bleed immediately upon contact, so there may be bleeding after sexual intercourse, which is usually bright red in color.
5. Pelvic inflammatory disease: Inflammation of the pelvic cavity can cause congestion. If the endometrium is congested and swollen, sexual intercourse can cause the congested endometrium to bleed.
6. Wearing an intrauterine device (IUD): Women who use IUD contraception may sometimes experience bleeding during sexual intercourse. This is because the IUD is a foreign object in the uterine cavity, and its mechanical compression can cause local damage, necrosis, and ulceration of the endometrium, which may lead to bleeding. In this case, sexual stimulation can cause bleeding.
7. Postmenopausal women: Due to a lack of estrogen, they are prone to senile vaginitis. At this time, the vaginal mucosa becomes thinner, and during sexual intercourse, it may also damage the vaginal mucosa and cause bleeding.
8. Cervical cancer: Post coital bleeding is its earliest symptom. Due to the small size of cancer lesions, numerous blood vessels, and fragile tissues, capillaries will rupture and bleed after sexual intercourse. If cancer progresses further, it is more likely to bleed.
9. Primary vaginal cancer: Due to the fragility of cancer cell tissue, the initial manifestation is only bleeding after sexual intercourse.
10. Endometriosis: Some cases of endometriosis grow in the cervix, appearing as blue purple nodules. If you encounter this type of blue purple ectopic nodule during sexual intercourse, it can cause bleeding. The amount of bleeding is generally small, the color is dark red, and abdominal pain often occurs after sexual intercourse.
