After intercourse, the blood volume is so heavy that it looks like I am on my period.

Heavy bleeding after intercourse, similar to menstruation, may be related to vaginal mucosal damage, cervical lesions, endometrium abnormalities and other factors. It is recommended to seek medical treatment promptly to investigate the cause and avoid delaying treatment.

1. Vaginal mucosal damage

During sexual intercourse, the vaginal mucosa may be torn due to violent movements or insufficient lubrication, which may appear as bright red bleeding, which may resemble menstruation when the amount is heavy. This type of situation is usually accompanied by significant pain, and the bleeding usually gradually decreases within 24 hours. Sexual life needs to be suspended, the perineum should be kept clean and dry, and erythromycin ointment should be used to prevent infection if necessary. If bleeding continues for more than 48 hours or fever occurs, seek medical attention to rule out deep tissue damage.

2. Cervicitis or polyps

Patients with chronic cervicitis or cervical polyps are prone to contact bleeding after sexual contact, and the bleeding may be large and bright red in color. Cervicitis is mostly related to pathogenic infection and is often accompanied by an increase in yellow discharge ； Cervical polyps are benign growths that may cause irregular spotting. The diagnosis requires gynecological examination and cervical TCT screening. For treatment, Baofukang suppository, anti-metritis tablets and other drugs can be used. Cervical polyp removal is required when the polyps are large.

3. Endometrial lesions

Diseases such as endometritis, endometrial polyps, or submucosal fibroids can cause abnormal shedding of the endometrium, and sexual stimulation may induce heavy bleeding. This type of bleeding is often dark red with blood clots, and may be accompanied by prolonged menstruation or worsening dysmenorrhea. Diagnosis requires ultrasound examination, and treatment includes placement of a levonorgestrel sustained-release intrauterine system, dydrogesterone tablets and other drug adjustments, and hysteroscopic lesion resection if necessary.

4. Bleeding worsens during ovulation

If sexual intercourse occurs during ovulation, the amount of bleeding during physiological ovulation may be significantly increased. The bleeding in this case is mostly light red, lasts for 2-3 days, and may be accompanied by a feeling of bloating in the lower abdomen. Usually no special treatment is required, but it needs to be distinguished from pathological bleeding. Those who have recurring symptoms can take Naked Flower Purple Pearl Tablets for treatment, and at the same time monitor the basal body temperature to confirm the bleeding period.

5. Coagulation dysfunction

Abnormal blood coagulation diseases such as thrombocytopenia and hemophilia can cause bleeding after sexual intercourse that is difficult to stop and may manifest as heavy and continuous bleeding. Such patients are often accompanied by systemic symptoms such as gum bleeding and subcutaneous ecchymosis. Four tests such as coagulation and platelet count are required. After diagnosis, coagulation factors or platelets need to be transfused, and strenuous sexual activities must be avoided.

In daily life, you should pay attention to gentle movements during sexual intercourse and use sufficient lubricant to reduce friction. During the period of bleeding, bathing, swimming and sexual intercourse are prohibited. Wash the vulva with warm water every day and change sanitary napkins frequently. Record the duration, blood volume and accompanying symptoms of bleeding, and bring previous gynecological examination reports with you when seeking medical treatment. Women over 40 years old who experience this symptom need to focus on the diagnosis of malignant lesions such as endometrial cancer. It is recommended to undergo a gynecological physical examination and ultrasound examination every year.