Bleeding After Intercourse: Causes and Concerns

Q: Bleeding After Intercourse: Causes and Concerns

Hello： Vaginal dryness can lead to friction and bleeding. <br>Bleeding during sexual intercourse is considered abnormal and requires a visit to a gynecologist. <br>However, occasional spotting for 2-3 days between two menstrual periods can be classified as ovulatory bleeding, whi

Bleeding during sexual intercourse?

Hello, doctor.
I had sexual intercourse with my boyfriend yesterday, August 30.
When he first entered, he said it was very painful, but he was able to re-enter.
After we finished, there was bleeding; he had blood at the junction of his glans and foreskin, and I also had some.
Today, August 31, I still have brown discharge.
Is this my period starting? However, my menstrual cycle is usually regular; my last period was on August 13, and I expect the next one around September 9.
There was a previous incident where he said it was painful when trying to enter, and there was also bleeding at the junction, along with some brown discharge from me, but that stopped quickly.
What could be going on?

Niming, 10~19 year old female. Ask Date: 2016/08/31

Dr. Cai Yonglong reply Obstetrics and Gynecology

Hello: Vaginal dryness can lead to friction and bleeding.
Bleeding during sexual intercourse is considered abnormal and requires a visit to a gynecologist.
However, occasional spotting for 2-3 days between two menstrual periods can be classified as ovulatory bleeding, which is normal (about 1 in 10 women may experience ovulatory bleeding).

Reply Date: 2016/08/31

More Info

Bleeding after intercourse can be a concerning issue and may arise from various causes. Based on your description, it appears that both you and your partner experienced bleeding during and after sexual activity, which could be attributed to a few potential factors.

Firstly, the presence of blood from your partner's glans (the head of the penis) and your own bleeding could indicate a minor injury or trauma during intercourse. This is especially plausible if there was any discomfort or pain reported during penetration. The vaginal tissues can be sensitive, and if there is insufficient lubrication or if the penetration is vigorous, it can lead to small tears or abrasions, resulting in bleeding. The fact that you mentioned experiencing coffee-colored discharge the following day suggests that this bleeding may not be from your menstrual cycle but rather from these minor injuries.

Another possibility is that the bleeding could be related to your menstrual cycle. Since you mentioned your last period started on August 13 and your next expected period is around September 9, it is conceivable that the bleeding could be an early sign of your menstrual cycle. However, the timing and nature of the bleeding (especially if it is associated with pain or discomfort) warrant further investigation.

It is also important to consider other factors that can contribute to post-coital bleeding, such as hormonal imbalances, infections, or conditions like cervical polyps or fibroids. If you have a history of irregular periods or have experienced similar bleeding episodes in the past, it may be worthwhile to consult a healthcare provider for a thorough evaluation.

In terms of what to do next, if the bleeding persists for more than a few days, worsens, or is accompanied by significant pain, it is advisable to seek medical attention. A healthcare professional can perform a physical examination, possibly including a pelvic exam, to determine the cause of the bleeding and recommend appropriate treatment if necessary.

In summary, while minor trauma during intercourse is a likely cause of the bleeding you experienced, it is essential to monitor your symptoms closely. If the bleeding continues or if you have any concerns about your reproductive health, do not hesitate to reach out to a healthcare provider for further evaluation and peace of mind. Your health and well-being are paramount, and addressing any unusual symptoms promptly is always the best course of action.

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