Bleeding after sex is a common occurrence, especially among women, with countless possible reasons. For first-time sexual experiences, bleeding is normal and minor cases don’t require much concern. However, if a woman is pregnant, caution is necessary as there may be a risk of miscarriage. Certain gynecological diseases such as cervical cysts, cancer, and sexually transmitted infections (STIs) may also lead to post-coital bleeding.
1. First-time bleeding after sex:
For most brides, experiencing a small amount of bleeding after their first sexual experience is normal, as it is caused by the tearing of the hymen. Usually, there is no need to panic, but bleeding must be stopped quickly if it is excessive. However, if there is a lot of bleeding, immediate medical attention should be sought, as excessive bleeding can pose a threat to life.
2. Bleeding during pregnancy:
If a woman has stopped having sex for 45 days and suddenly experiences abdominal bloating and pain, with slight dark red bleeding from the vagina, she should be wary. Due to an ectopic pregnancy, a significant proportion of patients develop this problem after sexual intercourse with their spouse. Bleeding with abdominal pain and possible blood clots after pregnancy may indicate placenta previa, which poses a serious risk to both mother and child and requires speedy hospitalization.
3. Symptomatic vaginal bleeding:
Cervical cysts: These are caused by inflammation and irritation resulting from the proliferation of cervical mucosa. They slowly protrude outwards, being red, soft, sensitive and rich in blood. They are easily ruptured by sexual intercourse, resulting in minor bleeding.
Cancer: If a middle-aged woman experiences minor vaginal bleeding after sex, it is often a symptom of cervical cancer in its early stages, especially when accompanied by recent vaginal secretions that possess a foul odor. A gynecological examination is necessary to remove any cancerous lesions.
STIs: Minor red vaginal bleeding after sex and excessive external genital itching with numerous small warts on the private parts or vaginal walls can be suggestive of genital warts. Both partners should immediately seek medical examination, diagnosis, and treatment.