Vaginal Bleeding and Inflammation After Intercourse - Obstetrics and Gynecology

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Vaginal bleeding and inflammation after intercourse can be concerning and may arise from various underlying causes. Given your situation, where you have recently resumed sexual activity after a long period of abstinence, it is essential to understand the potential reasons for these symptoms and the appropriate steps to take.

Firstly, the bleeding you are experiencing could be due to several factors. One common cause is vaginal dryness, which can occur if there is insufficient lubrication during intercourse. This dryness can lead to micro-tears in the vaginal tissue, resulting in bleeding. Additionally, if you have not been sexually active for a while, your vaginal tissues may be more sensitive and prone to irritation.
Another possibility is that the inflammation you mentioned could be due to a condition known as vaginitis, which can be caused by infections (such as yeast infections or bacterial vaginosis), irritants (like soaps or hygiene products), or hormonal changes. Vaginal infections can lead to symptoms such as itching, burning, and abnormal discharge, which may accompany the bleeding.

Moreover, if your doctor has diagnosed you with vulvovaginal inflammation, this could also contribute to the bleeding during or after intercourse. Inflammation can make the vaginal tissues more fragile and susceptible to injury during sexual activity, leading to bleeding.

It is crucial to consider the timing of your symptoms in relation to your menstrual cycle. If the bleeding occurs around the time you would expect your period, it could be related to hormonal fluctuations or ovulation. However, if it is occurring at unexpected times, further investigation is warranted.

Given your symptoms of itching and pain, along with the recent diagnosis of inflammation, it is advisable to follow up with your healthcare provider. They may recommend a pelvic examination to assess the condition of your vaginal tissues and to rule out any infections or other underlying issues. Depending on the findings, they may suggest treatments such as topical medications, antifungal treatments, or lifestyle changes to alleviate dryness and irritation.

In summary, while occasional bleeding after intercourse can be normal, persistent or recurrent symptoms warrant further evaluation. It is essential to communicate openly with your healthcare provider about your symptoms, including any changes in your sexual activity, to receive appropriate care. If your symptoms do not improve or worsen, do not hesitate to seek medical attention again. Your health and comfort are paramount, and addressing these issues early can help prevent further complications.