Sexual activity is something that every married woman has, but sometimes women may experience vaginal bleeding after sexual intercourse, which indicates that there may be abnormalities in the female reproductive system. It is necessary to find the cause of bleeding and actively treat it accordingly. So why does bleeding occur after sexual intercourse? This article will provide answers.
1、 Exogenous reproductive tract injury
1. The hymen ruptured during the first sexual encounter. At that time, there may have been pain and bleeding, but the amount of bleeding is usually not significant. If the damage is not severe, bleeding will stop quickly. However, sometimes when the hymen ruptures and accidentally damages the blood vessels in that area, there may be a lot of bleeding, which requires compression to stop the bleeding (such as using clean cotton balls or gauze, clean towels, etc.), or even seeking medical attention at the hospital.
2. Vaginal laceration. Usually, vaginal bleeding is found after sexual intercourse, and the amount of bleeding is large and difficult to stop on its own, with prolonged bleeding. Vaginal lacerations often occur during involuntary sexual intercourse or very rough methods. Vaginal lacerations are also seen in vaginal malformations, such as vaginal septum, transverse septum, double vagina, and vaginal stenosis. After undergoing vaginal plastic surgery, hymen repair, vaginal mass resection surgery, and hysterectomy surgery, poor healing of vaginal wounds and sexual intercourse can also easily cause damage.
2、 Postpartum bleeding during sexual intercourse
1. Sexual activity is too close to postpartum time, although the surface tissue of the perineum has healed, the deep muscle layer and fascia have not fully recovered.
2. The wound has inflammation, which affects healing; Maternal anemia and malnutrition can also affect healing.
3. The husband abstains from sexual activity for a longer period of time during the late pregnancy and postpartum period of his wife. Once they resume their marital life, their movements may be too intense and can easily cause damage, bleeding, or rupture of the perineal tissue.
4. Related to the suture condition of the wound; In addition to suturing the skin layer of the perineum with silk thread, the inner muscles and subcutaneous fat layer are also sutured with sheep intestine thread. However, the absorption of sheep intestine thread by the human body varies, and the quality of sheep intestine thread can also affect the absorption of human tissues.
In theory, sexual activity should be able to resume after 6 weeks postpartum. Mothers can first feel their physical condition and touch the extent of wound healing before making a decision. For example, check if the wound on the stomach has healed and if lochia has been completely cleared. After 4 weeks of childbirth, one should go to the hospital for the first postpartum physical examination. Many people are concerned that postpartum bleeding during the first sexual intercourse may affect a woman's future sexual desire. In fact, if the wound heals well and there is no pain, it will not cause sexual frigidity in the female partner. When resuming sexual activity, foreplay should be soft and gentle, the pace should be slower, the activity time should be longer than before, and if necessary, some lubricant should be used again. This will greatly alleviate the pain of the first sexual encounter. Once bleeding is detected, it should be promptly taken to the hospital instead of stopping it hastily.
3、 Inflammation of reproductive organs
1. Vaginitis. Common vaginitis includes fungal vaginitis, trichomonas vaginitis, and senile vaginitis. Vaginitis usually presents with symptoms of itching and increased vaginal discharge, as well as swelling, congestion, or rupture of the vaginal mucosa. At this time of sexual intercourse, when the vagina is stimulated, bloody secretions will flow out, and there will be a burning sensation in the vagina. Therefore, sexual intercourse should not be performed during vaginitis.
2. Cervicitis. Chronic cervicitis, such as cervical erosion and cervical polyps, is quite common among women of childbearing age. Mild cervical erosion does not cause bleeding after sexual intercourse. If bleeding occurs after sexual intercourse, it should be considered that there may be severe cervical erosion or larger cervical polyps, or the possibility of cancer, and medical examination should be sought as soon as possible. During acute cervicitis, bleeding after sexual intercourse may also occur, and timely medical examination should be sought at the hospital.
3. Cervical erosion: Cervical erosion is the most common manifestation of chronic cervicitis, and the cells at the site of cervical erosion are prone to shedding and thinning. Therefore, some cervical erosion can also cause bleeding during sexual intercourse, especially in patients with moderate and severe cervical erosion. Gulou Medical Research has shown that the occurrence of cervical cancer is closely related to cervical erosion, therefore necessary treatment measures should be taken for cervical erosion to prevent cervical cancer.
4. Diseases such as endometritis and pelvic inflammatory disease. Often accompanied by symptoms such as abdominal pain, lower back pain, and excessive vaginal discharge, it is necessary to seek medical examination and receive formal treatment. Anti inflammatory therapy is often effective.
5. Cervical polyp: Cervical polyp is a hairless, red or purple, finger shaped tumor that grows on the endometrium of the cervix or uterus. Cervical polyps are very fragile and protrude from the cervix, making them easy to remove painlessly.
4、 External malignant tumor
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 intercourse may be the only symptom of early cervical cancer. Rare vaginal cancer can also cause bleeding after sexual intercourse. Therefore, if a woman discovers vaginal bleeding or bloody discharge after sexual intercourse, she should be alert and seek medical examination as soon as possible to rule out the possibility of gynecological malignancies such as cervical cancer.
2. Submucosal fibroids of the uterus: Submucosal fibroids that originally grow in the uterine cavity are pushed down by uterine contractions, causing the tumor pedicle to gradually elongate and eventually protrude from the cervix into the vagina. The slender lesion provides poor blood supply to the fibroids, making them susceptible to infection. During sexual intercourse, fibroids are impacted, exacerbating the damage and causing bleeding.
If you experience bleeding during sexual intercourse, you must actively search for the cause of the problem and take necessary measures for treatment, otherwise it may lead to serious consequences.
