There will be a little blood after sex

Vaginal bleeding after intercourse is a common problem for women. This problem is mostly caused by several factors. First of all, physiological factors, because the action is too intense or there is excessive excitement, which will lead to signs of slight bleeding. There are also damage to the virginity and reproductive organs. Pathological factors caused by inflammatory diseases cannot be ruled out.

Vaginal bleeding after intercourse

Generally speaking, normal and coordinated sexual life will not cause vaginal bleeding in women. Vaginal bleeding after intercourse often indicates the presence of some pathological condition. Vaginal bleeding is a common gynecological symptom. Blood flows out of the vagina, but the bleeding site may be the vagina, cervix or uterus (the latter is more common); the amount of bleeding varies (a few are in the form of drops, and a lot can be life-threatening); the bleeding situation varies (it can manifest as menstrual disorders, irregular bleeding, or contact bleeding after sexual intercourse, after a gynecological examination, etc.).

The physiological characteristics of women of different ages are different, and the common causes of vaginal bleeding are also different. Generally speaking, the main reasons for vaginal bleeding after intercourse are as follows:

External genital tract injury

1. Damage to the hymen. The most common is rupture of the hymen during first sexual intercourse. This bleeding usually occurs during sexual intercourse. There may be pain and bleeding at the time, but the amount of bleeding is usually not much. If the injury is not serious, the bleeding will stop soon. However, sometimes when the rupture of the hymen happens to damage the blood vessels in that area, bleeding is heavy and requires pressure to stop the bleeding (such as using a clean cotton ball or gauze, a clean towel, etc.), or even going to the hospital for treatment.

2. Vaginal laceration. Vaginal bleeding occurs during or after sexual intercourse and the amount of bleeding is heavy, difficult to stop on its own, and lasts for a long time. Vaginal lacerations often occur during involuntary sexual intercourse or very rough sexual intercourse. Vaginal lacerations are also seen in vaginal malformations, such as vaginal septum, transverse septum, double vagina, and vaginal stenosis. If the vaginal wound heals poorly after vaginal plastic surgery, hymen repair, vaginal tumor removal surgery, or hysterectomy, sexual intercourse may easily cause damage. Improper sexual posture and position can also cause vaginal injury and bleeding. The amount of bleeding depends on the location and extent of the injury. There was a woman who, after being raped, suffered severe lacerations from the posterior vaginal wall to the vaginal vault and suffered heavy bleeding. She went to the hospital for treatment 6 hours later. When she did, she had already shown signs of hemorrhagic shock, including pale complexion, rapid pulse, and low blood pressure.

Inflammation of the external genital tract

1. Cervical polyps. Chronic inflammation may cause cervical polyps due to long-term stimulation of the cervix. Single or multiple small pedunculated granulation tissues grow at the cervical opening, looking like bean buds, and the larger ones are as big as a finger. Polyps are fragile and tender, and will bleed if touched, so bleeding may occur after sexual intercourse. This bleeding is usually bright red.

2. Cervical cancer. Bleeding after sexual intercourse is the earliest symptom. Because there are more small blood vessels and the tissues are more fragile in the cancer lesions, the capillaries will rupture and bleed due to damage after each sexual intercourse. If the cancer grows further, it will bleed more easily.

3. Endometriosis. Some endometriosis grows on the cervix and appears as blue-purple nodules. If this blue-purple ectopic nodule is touched during sexual intercourse, it will cause bleeding. The amount of bleeding is generally small and dark red, and abdominal pain often occurs after intercourse.

4. Pelvic inflammatory disease. Pelvic inflammation can cause pelvic congestion. If the endometrium is congested and edematous, sex may cause the congested endometrium to release hormones, but this opportunity is rare.