What are the causes of bleeding after intercourse? What are the causes of bleeding after intercourse?

　　Bleeding after intercourse is not normal; it may be a warning signal from the body. Bleeding from different causes can vary in severity. Next, let’s break down the specific reasons in detail.

hymen rupture

　　Situation description: For those who have sex for the first time female , hymen rupture is a common cause of bleeding. The hymen is a thin film located at the vaginal opening. During the first sexual intercourse, due to the tearing of the hymen, there will be a small amount of bleeding, usually light red or bright red. The amount of bleeding is generally small, may only appear in the form of drops, and lasts for a short time. Most of them stop on their own within 1-2 days.

vaginal injury

　　Rough sex: Too rough sex, too intense movements, or inappropriate postures during sex may cause damage to the vaginal mucosa or perineum, resulting in bleeding. The bleeding in this case may be sudden, the amount of blood may be large or small, and may be accompanied by pain. If the injury is minor, it can usually be recovered within a few days by resting and keeping the area clean. ； If the injury is serious, the amount of bleeding is large or continues, you should go to a regular hospital in time. Hospital , such as visiting Peking Union Medical College Hospital, and handle it accordingly.

　　vaginal dryness : Women may experience vaginal dryness under certain circumstances, such as endocrine disorders, high psychological stress, use of certain drugs, etc. Having sexual intercourse when the vagina is not lubricated enough can easily cause abrasions to the vaginal mucosa, which can lead to bleeding. This situation can be improved by using water-soluble lubricants, and the cause of vaginal dryness should be actively found and treated.

Gynecology inflammation

　　Cervicitis : Cervicitis is one of the common gynecological inflammations. Inflammation can make the cervical tissue fragile and prone to bleeding after being stimulated during intercourse. Bleeding caused by cervicitis is generally contact bleeding, the amount of blood is small, and the color may be light red or brown. Patients may also experience symptoms such as increased leucorrhea and odor. Treatment of cervicitis usually requires medication or physical therapy based on the severity of the condition. The specific treatment plan needs to be carried out under the guidance of a professional doctor, such as a doctor from the Obstetrics and Gynecology Hospital of Fudan University.

　　Vaginitis : The vaginal mucosa of patients with vaginitis is in a state of congestion and edema, and stimulation from sexual intercourse may cause mucosal damage and bleeding. Different types of vaginitis have different symptoms, but they generally have Abnormal leucorrhea、Itching of the vulva Wait for performance. To treat vaginitis, the cause needs to be clarified and different pathogens should be treated accordingly. For example, fungal vaginitis can be treated with antifungal drugs, and trichomonas vaginitis can be treated with drugs such as metronidazole.

Uterine lesions

　　Endometriosis: Endometriosis refers to the presence of endometrial tissue in parts other than the uterine body. During intercourse, bleeding may occur due to collision with the ectopic endometrial tissue. Patients may also experience symptoms such as dysmenorrhea and infertility. Treatment methods include drug treatment and surgical treatment. The specific treatment plan needs to be comprehensively considered based on the patient's age, symptoms, lesion location and other factors.

　　Uterine fibroids: Larger uterine fibroids may affect the normal contraction of the uterus and cause bleeding after intercourse. In addition, submucosal fibroids are more likely to cause bleeding, and the amount and duration of bleeding may vary depending on the size and location of the fibroids. For smaller fibroids, regular observation can be ； If the fibroids are large or symptomatic, surgery may be required.

　　Cervical cancer: Cervical cancer is a serious gynecological disease. In the early stage, it may only show a small amount of bleeding after intercourse. As the disease progresses, the bleeding may increase, and may also be accompanied by symptoms such as vaginal discharge and foul odor. Early screening of cervical cancer is very important. It is recommended that women undergo regular cervical cancer screening, such as TCT and HPV testing. Once cervical cancer is diagnosed, comprehensive treatment such as surgery, radiotherapy, and chemotherapy is required according to the condition.