Vaginal Bleeding After Intercourse: When to Worry

Sexual intercourse, vaginal bleeding?

Hello doctor, I had intercourse with my boyfriend the day before yesterday.
We both used a condom, but there was a slight amount of blood on it, which we didn't think much of at the time.
However, the next day around noon, I started to notice a small amount of bright red blood, accompanied by abdominal pain.
I initially thought it might be my period, but it is usually due next week, so I'm unsure if this could be ovulation bleeding, or if there is inflammation or abnormal bleeding in the vagina.
Should I be concerned, or is it just an early onset of my period? Today is the second day of bleeding, and I still have abdominal pain.

Hua, 20~29 year old female. Ask Date: 2020/06/08

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, there seems to be something unusual.
It is advisable to see a gynecologist.
Wishing you good health.

Reply Date: 2020/06/08

More Info

Vaginal bleeding after intercourse can be concerning, especially when accompanied by abdominal pain. In your case, the presence of fresh red blood and the timing relative to your menstrual cycle raises several possibilities that should be considered.

Firstly, it is important to determine whether the bleeding is due to a normal physiological process, such as ovulation, or if it indicates a potential medical issue. Ovulation bleeding, which can occur around the midpoint of your menstrual cycle, is typically light and may last for a few hours to a couple of days. However, given that you mentioned your period is not due for another week, this could be less likely.

Another possibility is that the bleeding could be a result of trauma or irritation to the vaginal tissues during intercourse. Even with the use of condoms, friction can sometimes cause small tears or abrasions, leading to bleeding. If the bleeding is minor and resolves quickly, it may not be a cause for concern. However, if the bleeding persists or is accompanied by significant pain, it warrants further investigation.

Infections, such as vaginitis or cervicitis, can also cause abnormal bleeding. Symptoms of these conditions may include unusual discharge, itching, or a burning sensation. If you suspect an infection, it is important to seek medical attention for appropriate diagnosis and treatment.

Additionally, conditions such as polyps, fibroids, or other structural abnormalities in the reproductive system can lead to abnormal bleeding. These conditions may not always present with obvious symptoms, but they can cause bleeding after intercourse or at other times in the menstrual cycle.

Given that you have experienced bleeding for two days and are also experiencing abdominal pain, it is advisable to consult with a healthcare provider. They can perform a thorough examination, which may include a pelvic exam, and possibly imaging studies or laboratory tests to determine the cause of your symptoms.
In summary, while some bleeding after intercourse can be normal, especially if it is light and resolves quickly, the combination of persistent bleeding and abdominal pain should not be ignored. It is crucial to seek medical advice to rule out any serious conditions and to receive appropriate care. Early intervention can help address any underlying issues and provide peace of mind.

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