These commonly include yeast infections, pelvic inflammatory disease , cervicitis, vaginitis , and sexually transmitted infections , such as chlamydia and gonorrhea. Polyps and fibroids are tiny noncancerous growths. They commonly grow on the lining of the cervix or uterus, especially in menstruating people, and can cause pain and bleeding. Glandular cells from the inside of the cervical canal can abnormally grow on the outside of the cervix.
This condition usually clears up without treatment, but it can cause spotting and vaginal bleeding. Endometriosis causes endometrial tissues, the tissues that line the uterus, to grow outside of the uterus. This can cause inflammation, usually in the pelvic region and lower abdomen.
Cervical dysplasia occurs when abnormal, precancerous cells grow in the lining of the cervical canal, which is the opening separating the vagina and uterus. These growths can irritate and eventually damage surrounding tissues, especially during intercourse.
Some people have differently shaped reproductive organs, which may increase the likelihood of painful friction and tearing. Diseases that cause abnormal bleeding or clotting can increase the risk of postcoital bleeding. Blood-thinning medications may also have this effect. Cancers that impact the reproductive system or urogenital tract can alter vaginal tissues and hormone levels, making them more vulnerable to damage.
Postcoital bleeding is considered a common symptom of both cervical and uterine cancers. There are no national or international guidelines doctors use to diagnose or manage postcoital bleeding.
Many medical professionals will ask questions about individual and family medical histories and perform a full physical exam. If a doctor can not determine the cause of problematic bleeding, they may refer a woman to a gynecologist. Talk with a doctor any time postcoital bleeding is severe, frequent, or continues for more than a few hours after intercourse. Also speak with a doctor if postcoital bleeding is accompanied by additional symptoms, including:. In many cases, there is no single clear cause of postcoital bleeding, so there is no direct course of treatment.
Pregnancy, childbirth, and breast-feeding all cause major hormonal changes, most of which can make vaginal tissues more prone to damage. During pregnancy, minor bleeding during or after intercourse is common. Talk with a doctor about any form of heavy or prolonged bleeding during early pregnancy.
Find a sexual health clinic. Page last reviewed: 16 February Next review due: 16 February Home Common health questions Sexual health Back to Sexual health. Does a woman always bleed when she has sex for the first time? Having a stretched or torn hymen does not necessarily mean a woman has lost her virginity. The hymen can also stretch or tear quite easily before a woman has sex for the first time, through: activities such as horse riding and other sports using tampons masturbation A woman may not know her hymen has stretched or torn, because it does not always cause pain or noticeable bleeding.
You might want to prepare for anal sex by using an enema , which cleans the lower part of your rectum. Enemas can provide peace of mind, which is important because the next rule of anal sex is to relax. This could make it difficult to penetrate, which can cause pain and bleeding.
Communicate with your partner and give yourself enough time to get aroused. This will help you relax. In every sense of the word, go slowly. Take time with foreplay. Pushing something in quickly — regardless of what it is — can be painful. To minimize your risk , you can do the following:. If you want to avoid pregnancy, talk to a doctor or other healthcare provider about your contraceptive options.
Excessive bleeding after sex can also be caused by STIs. Certain STIs could cause inflammation in your genitals, which can lead to bleeding. While some people bleed the first time they have sex, not everybody does —and there are ways to reduce the chances of bleeding and pain. Her writing covers issues relating to social justice, cannabis, and health. You can reach out to her on Twitter. Condoms are one of the most effective ways to prevent pregnancy and protect against sexually transmitted infections.
The risks you and your partner face depend on when the condom broke and the type of intercourse you were having. There are steps you can take to….
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