Discomfort and Bleeding After Sex: When to Seek Medical Attention

Discomfort and bleeding after urination following sexual intercourse?

Hello Doctor: Last Friday night (August 19) and Saturday morning (August 20), I had sexual intercourse with my boyfriend.
During that time, I didn't feel anything unusual, but by Monday afternoon, after using the restroom, I noticed some blood streaks when wiping with toilet paper, accompanied by some pain.
After wiping a few more times, there was no more blood.
Additionally, I've been feeling the urge to urinate more frequently, and I have a dull sensation in my lower abdomen, similar to the feeling before my period.
These symptoms have persisted until today (August 24).
I would like to ask the doctor if this condition could be due to inflammation caused by sexual intercourse? Do I need to seek medical attention immediately for this situation? Thank you for taking the time to respond.

Yen Linda, 20~29 year old female. Ask Date: 2016/08/24

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, it is possible that you may have a urinary tract infection or pelvic inflammation.
I recommend that you consult with a gynecologist who can assess your condition and determine whether to arrange for relevant tests (such as ultrasound, bacterial culture of secretions, microscopy, urinalysis, X-rays, blood tests, etc.) to address your pain.
Thank you! Wishing you safety and health, Dr.
Zhang.

Reply Date: 2016/08/24

More Info

Experiencing discomfort and bleeding after sexual intercourse can be concerning, and it's important to understand the potential causes and when to seek medical attention. Based on your description, it seems that you are experiencing some symptoms that could be related to a few different issues, including possible trauma from intercourse, urinary tract infection (UTI), or other underlying conditions.

Firstly, the presence of blood when wiping after urination, along with pain and increased frequency of urination, raises the possibility of a UTI. UTIs can occur when bacteria enter the urinary tract, leading to symptoms such as burning during urination, frequent urges to urinate, and sometimes blood in the urine. The discomfort in your lower abdomen could also be associated with a UTI, as the bladder becomes irritated.

Another possibility is that the bleeding could be due to trauma or irritation of the vaginal or urethral tissues during intercourse. This is especially common if there was insufficient lubrication or if the intercourse was particularly vigorous. If the bleeding is light and resolves quickly, it may not be a cause for alarm, but persistent or heavy bleeding should be evaluated by a healthcare professional.

Given that your symptoms have persisted for several days, it is advisable to seek medical attention. A healthcare provider can perform a thorough evaluation, which may include a physical examination, urinalysis, and possibly other tests to determine the underlying cause of your symptoms. They can also assess for any signs of infection or injury that may require treatment.

In summary, while some discomfort and minor bleeding can occur after sexual activity, especially if there is trauma or irritation, the combination of your symptoms—especially the blood, pain, and changes in urination—suggests that it would be prudent to consult a healthcare professional. Early intervention can help prevent complications and ensure appropriate treatment, whether it be for a UTI, irritation, or another condition. Remember, it’s always better to err on the side of caution when it comes to your health.

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