Discomfort and Bleeding After First Sexual Experience

My question?

Hello Doctor, my boyfriend and I had intercourse (both of us are inexperienced) and we used a condom.
During the first time, we had difficulty finding the right position, and I felt a burning sensation in my vagina, which was not comfortable.
After showering, I noticed a little bit of blood.
We had intercourse again, and I experienced the same burning sensation.
Afterward, I bled a lot, but I didn't feel much pain; however, I did experience a stinging sensation when urinating, which went away the next day, and there was no more bleeding.
Is this normal?

Wo, 10~19 year old female. Ask Date: 2017/07/29

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Having intercourse with my boyfriend (both of us for the first time) was done with a condom.
During the first time, we had difficulty finding the right position, and I felt a burning sensation in my vagina, which was not comfortable.
I noticed a little bit of blood while showering.
Later, we had intercourse again, and I experienced the same burning sensation.
Afterward, there was a significant amount of bleeding, but I didn't feel much pain; however, urination was painful, which resolved the next day, and there was no more bleeding.
Is this normal?
Answer: 1.
The significant bleeding after intercourse without much pain, and no bleeding the next day, indicates that the hymen may have been torn.
2.
The painful urination after intercourse that resolved the next day suggests a mild lower urinary tract infection.
3.
Is this normal? Overall, it is relatively common.

Reply Date: 2017/07/29

More Info

Experiencing discomfort and bleeding after your first sexual encounter can be concerning, especially when it involves sensations of burning and bleeding. It’s important to understand that these experiences can vary widely among individuals, and several factors may contribute to what you are feeling.

Firstly, it’s not uncommon for individuals to experience some bleeding after their first sexual intercourse. This can often be attributed to the stretching or tearing of the hymen, a thin membrane that partially covers the vaginal opening. However, not all individuals with a hymen will bleed during their first sexual experience, and the amount of bleeding can vary. In your case, the presence of blood after intercourse could indicate that there was some minor trauma to the vaginal tissues, which can happen if there is insufficient lubrication or if the penetration was forceful.

The burning sensation you described could be due to a few reasons. One possibility is that there was not enough natural lubrication during intercourse, leading to friction and discomfort. Using a water-based lubricant can help alleviate this issue and make the experience more comfortable. Additionally, anxiety or tension can also contribute to discomfort during sex, as it can cause the vaginal muscles to tighten, making penetration more difficult and potentially painful.

The fact that you experienced a significant amount of bleeding during your second encounter, despite not feeling much pain, is something to take note of. While some bleeding can be normal, especially if there was some trauma, excessive bleeding is not typical and should be evaluated by a healthcare professional. The sharp pain during urination could indicate a urinary tract infection (UTI) or irritation of the urethra, which can occur if bacteria are introduced during intercourse. It’s advisable to monitor this symptom and seek medical attention if it persists or worsens.

In terms of what is considered "normal," it’s important to recognize that every individual’s body reacts differently to sexual activity. If you experience bleeding that lasts more than a few days, or if you have ongoing pain, discomfort, or any other unusual symptoms, it is crucial to consult with a healthcare provider. They can perform an examination to rule out any underlying issues such as infections, tears, or other conditions that may require treatment.

Additionally, it’s worth noting that sexual experiences should ideally be pleasurable and comfortable. If you continue to experience discomfort, it may be beneficial to communicate openly with your partner about what feels good and what doesn’t. Taking things slowly, ensuring adequate foreplay, and using lubrication can significantly enhance comfort during sexual activity.

Lastly, if you have concerns about your sexual health or experience any changes in your menstrual cycle, it’s always a good idea to consult with a gynecologist. They can provide personalized advice and support based on your specific situation. Remember, sexual health is an important aspect of overall well-being, and seeking help when needed is a positive step towards a healthy sexual experience.

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