Why You Might Bleed During or After Sex

Experiencing bleeding during or after sex, known as postcoital bleeding, can be concerning, but it’s not uncommon. Understanding the possible causes can help you address the issue effectively.

Common Causes of Bleeding During or After Sex

1. Friction or Lack of Lubrication
   • Inadequate lubrication can lead to friction, causing small tears or abrasions in the vaginal tissue, resulting in light bleeding. To prevent this, ensure proper lubrication, either naturally or with the use of lubricants.
2. Vaginal Dryness
   • Vaginal dryness, often due to menopause, breastfeeding, or other hormonal changes, can cause discomfort and bleeding. Using a water-based lubricant can alleviate this issue.
3. Infections
   • Infections like yeast infections, bacterial vaginosis, or sexually transmitted infections (STIs) can inflame vaginal tissues, making them more prone to bleeding. Changes in vaginal discharge, unusual odors, or itching may indicate an infection that requires medical attention.
4. Cervical Polyps
   • Small, benign growths on the cervix, known as cervical polyps, can cause bleeding after sex. These are generally not dangerous but can be removed if they cause discomfort or frequent bleeding.
5. Cervical Ectropion
   • This occurs when cells from inside the cervical canal grow on the outside of the cervix, leading to harmless but potentially bothersome bleeding after sex.
6. Hormonal Imbalances
   • Hormonal changes, particularly those related to birth control, pregnancy, or menopause, can trigger postcoital bleeding. Spotting may occur as your body adjusts to a new birth control method.
7. Cancer
   • Although rare, persistent bleeding after sex could be a sign of cervical or vaginal cancer. It’s crucial to consult a doctor if the bleeding is continuous or accompanied by other symptoms like pain or unusual discharge.

When to See a Doctor

Consult a doctor if:

• The bleeding is heavy or recurs frequently.
• You experience additional symptoms such as pain, unusual discharge, or fever.
• You have concerns about your sexual or reproductive health.

A medical examination can help identify the cause of the bleeding and ensure your health and well-being are maintained.