Causes of Post-Intercourse Bleeding: What You Need to Know - Obstetrics and Gynecology

More Info

---

Post-intercourse bleeding can be concerning, especially when it occurs unexpectedly. In your case, the bleeding began after a sexual encounter and has persisted for a couple of days. There are several potential causes for this type of bleeding, and understanding them can help alleviate your concerns.

1. Physical Trauma: One of the most common reasons for post-intercourse bleeding is minor trauma to the vaginal walls or the cervix. This can happen if there is vigorous sexual activity, especially if it is a first-time experience for one partner. The use of fingers or penetration can sometimes cause small tears or abrasions, leading to light bleeding.
2. Hormonal Fluctuations: Hormonal changes throughout the menstrual cycle can also lead to unexpected bleeding. For instance, if the bleeding occurs around the time of ovulation, it may be related to ovulation spotting, which is typically light and short-lived. Additionally, if your partner's menstrual cycle is approaching, hormonal shifts could also contribute to this bleeding.

3. Infections or Inflammation: Conditions such as vaginitis, cervicitis, or pelvic inflammatory disease can cause bleeding after intercourse. These conditions may be accompanied by other symptoms like unusual discharge, itching, or discomfort. If there are signs of infection, it is advisable to seek medical attention for appropriate treatment.

4. Cervical Erosion or Polyps: Sometimes, the cervix can be sensitive or have small growths (polyps) that can bleed after intercourse. These are usually benign, but if they cause persistent bleeding, a healthcare provider may recommend further evaluation.

5. Pregnancy-Related Issues: While you mentioned using a condom, it is still important to consider the possibility of pregnancy. Implantation bleeding can occur when a fertilized egg attaches to the uterine lining, typically around the time of your expected period. However, this usually happens about a week after conception, so if your last period was from October 27 to 31, this would be a consideration if you had unprotected intercourse around that time.

6. Other Medical Conditions: Conditions such as endometriosis or fibroids can also lead to abnormal bleeding. These conditions may require further investigation through ultrasound or other imaging techniques.

Regarding your concern about pregnancy, if you had protected intercourse and there was no breakage of the condom, the likelihood of pregnancy is low. However, if you are still concerned, taking a home pregnancy test after a missed period can provide clarity. It is generally recommended to wait until at least the first day of your expected period for the most accurate results.

In summary, while post-intercourse bleeding can stem from various causes, many are benign and may resolve on their own. However, if the bleeding persists, increases in volume, or is accompanied by other symptoms, it is essential to consult a healthcare provider for a thorough evaluation. They can perform necessary tests to determine the underlying cause and recommend appropriate treatment if needed.