Hygiene

Blood excretion in women after sexual intercourse: causes

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In accordance with medical terminology, the appearance of bleeding after intercourse is defined as post-coital bleeding and belongs to the category of pathological phenomena. The degree of danger to the health of a woman is determined by their intensity, duration and frequency of occurrence. If the appearance of discharge with blood after sex is one-time in nature and is not accompanied by painful sensations, itching or burning, the threat to the health of the woman is minimal. Nevertheless, it is still not recommended to delay a visit to a specialist, since the release of blood in the period between periods can be one of the first signs of serious gynecological diseases, including oncological diseases.

general characteristics

Spotting after sexual intercourse do not have common with the menstrual cycle, may occur at any time of the day, be one-time or multiple, accompanied by painful sensations or appear against the background of the absence of additional symptoms. Predominant phenomena of this kind are observed in women during the fertility period.

Depending on the localization of lesions, the intensity and nature of post-coital discharge in women may differ somewhat, for example:

  • Against the background of inflammatory processes affecting the mucous tissues of the cervix, secretions can appear in the form of pinkish mucus mixed with blood.
  • Inflammatory processes or pathologies affecting the uterus, lead to the release of blood clots.
  • In case of mechanical damage to the vaginal walls, red blood may appear.

Bleeding associated with the onset of symptoms such as dizziness, headaches, increasing painful sensations in the lower abdomen, general weakness, chills, cold sweat, and fainting is especially dangerous for a woman. When one or more of the listed symptoms appear, there may be evidence of internal bleeding.

Internal bleeding, including after intercourse, can lead not only to serious health problems, but also to the death of a woman. To prevent such negative consequences, you should immediately contact a specialist.

Causes of

Spotting after sex are common problems and can be caused by a variety of causes. In the overwhelming majority of clinical cases, the factors that provoke pathologies of this kind in women are called:

  • Defloration. Bloody discharge during intercourse, appearing in significant quantities, is the absolute norm in the first coitus in women. The degree of intensity of bleeding duration depends on the density and size of the hymen. In some cases, the first sexual intercourse is not associated with the appearance of the above symptoms.
  • Mechanical damage. Abundant or minor bleeding can be accompanied by sexual acts, committed in rough form and involving mechanical damage to the mucous tissues of the walls or vaginal fornix.
  • Diseases of the infectious nature. Diseases of infectious pathogenesis, such as gonorrhea, chlamydia, ureaplasmosis, and others, can provoke mucous pink discharge after sex.
  • Inflammatory processes. Accompanying minor blood loss may be diseases of the inflammatory pathogenesis, for example, vaginitis, cervicitis, and others. A distinctive feature in this case is the appearance of a secret, not only during sex, but also at rest.
  • Polyps, erosion, fibroids. Pathological neoplasms and damage to the mucous tissues of the vagina and uterus are a particularly common cause of bleeding after sex.
  • Endometriosis. Pathological proliferation of the mucous tissues of the uterus often leads to the separation of a small amount of bloody secretion both after sexual intercourse and at rest.
  • Violation of hormonal levels. Another cause of blood loss after sexual intercourse is a hormonal disorder caused by diseases of the endocrine system or the administration of potent drugs, including oral contraceptives.
  • Internal bleeding. The most dangerous condition is internal bleeding, coupled with a slight discharge of bloody fluid, as well as strong cramping pain in the lower abdomen, a sharp decline in strength and weakness. Probable causes of pathology are miscarriages, ruptures of the cyst of the uterus and ovaries. Contacting a medical institution in this case should be prompt.

The appearance of a mucous fluid mixed with hemolymph during sexual intercourse can occur due to the presence of pathologies not only in the woman, but also in the man. This phenomenon is called hemospermia and is characterized as the presence of blood particles in seminal fluid.

Diagnostic methods

Spotting after a pas is an obligatory reason for carrying out a comprehensive study aimed at identifying the causes of the pathological condition and, if necessary, prescribing adequate treatment. Diagnostic measures include the following methods:

  • Collecting history. To obtain objective information about the patient's condition, the doctor needs to know not only her age, existing diseases and pathologies, but also the duration of bleeding and its intensity.
  • Visual inspection. The second stage of diagnostic measures is a visual inspection of the external genital organs, mucous tissues of the vagina and cervix. Often, on the basis of the data obtained, you can make the primary diagnosis.
  • Gynecological smear. The collection of secret samples is necessary for research in the laboratory to identify infectious and inflammatory diseases, including sexually transmitted diseases.

If the above research methods did not reveal any pathologies, however, the woman shows complaints of spotting, it is necessary to use additional procedures. Among them, as a rule, they call ultrasound of the internal genital organs, biopsy and colposcopy. These methods allow you to identify not only benign, but also malignant neoplasms in the early stages of development.

Important! Timely detection of cancer, that is, a malignant tumor, and the appointment of adequate therapy is the key to successful recovery and the ability to preserve reproductive function.

Treatment methods

Discharges of blood that appear after sex do not belong to normal variants and, most likely, are an early sign of existing pathologies and diseases. Treatment of bleeding is based on the removal of the underlying causes of such conditions. Depending on why a minor blood loss occurs after sex, the following treatment options may be prescribed:

  • If bloody secretion after sexual intercourse is excreted due to the proliferation of benign tumors, the removal of pathological tissues by means of drug therapy or surgical manipulation is necessary. The second method is most often used, since it allows to eliminate the existing problems in a short time and significantly reduces the risk of possible relapses.
  • If the primary cause of the appearance of blood after coitus is called a precancerous condition and pathological changes in endometrial tissues, progesterone preparations may be prescribed to inhibit the growth of malignant tumors.
  • Pinkish or red bloody discharge may well be evidence of a woman's cervical cancer. This pathology is among the most dangerous and severe and can lead to the onset of death. Combined cancer therapy is chosen in accordance with the degree and form of the disease. Primarily, the removal of a malignant formation or an affected organ, the use of chemotherapy and radiation are practiced.
  • If the only cause of bleeding is perfect sexual contact, treatment is based on curettage of the cavity and mucous tissues of the uterus in the event that the release of blood continues for a long time.
  • Bloody secret can be released, including during pregnancy, which is a variant of the norm. However, this condition can be dangerous to the health of the woman and the unborn child if the bleeding is intense and lasts long enough. In such situations, there is a high risk of preterm delivery.
  • Treatment of infectious and inflammatory diseases is based on the use of antiviral, antibacterial and antibiotic drugs. The choice of the most appropriate drug is determined on the basis of the available test results to the patient and the diagnosis.
  • If you identify sexually transmitted infections, you should be treated not only for a woman who suffers from post-coital bleeding, but also for her sexual partner. Otherwise, there is a risk of permanent recurrence of the disease. To eliminate such ailments, antibacterial and anti-inflammatory drugs are used as well as agents with immunomodulatory properties.

It is important to remember that prescribing adequate treatment is the privilege of a qualified professional. To apply the methods of folk therapy, and practice the treatment of bleeding at home is not recommended. Attempts of self-treatment in this case can cause extremely negative consequences, especially if the discharge after sexual intercourse continues to be smeared over a long period of time.

Prevention methods

The question of how to prevent postcoital bleeding is relevant only if the woman is completely healthy and does not have any pathologies. In the presence of diseases that can trigger the secretion of bloody secretion, the use of preventive measures will not allow to obtain positive results. As ways that will help significantly reduce the risk of bleeding, called:

  • Compliance with the rules and regulations of personal intimate hygiene. In addition, such a measure will help to significantly reduce the risk of developing inflammatory diseases.
  • It is recommended to exclude unprotected sex.
  • As a means of unwanted pregnancy, it is desirable to use barrier contraceptives, that is, condoms.
  • When pathologies or physiological features that cause excessive vaginal dryness, it is recommended to use special lubricants and gels. This will help significantly reduce the likelihood of mechanical damage to the mucous tissues of the vagina.
  • In identifying diseases of an infectious and viral nature in a man, a woman also needs to undergo appropriate treatment prescribed by a specialist. A treatment course is necessary even if partners use barrier methods of contraception.

Postcoital bleeding can be both a variant of the absolute norm, and evidence of existing pathologies and diseases. To prevent possible complications, it is necessary to consult a doctor even if the appearance of blood was of a one-off character. If the secretion of bloody secretion was associated with the appearance of pain, discomfort or other unpleasant sensations, seek medical help in a medical institution immediately.

Bleeding after sex: the reasons for their appearance

  • One of the reasons for the appearance of bloody vaginal discharge can be mechanical damage. During violent sex, a woman may be injured by the mucous membrane of the vagina or cervix. There are more serious injuries: trauma to the vault of the vault or walls. If severe pain or heavy bleeding occurs during or after sex, you should immediately seek medical help. Severe bleeding can lead to very serious consequences.
  • Another reason for the pathological discharge of blood from the vagina after sexual intercourse can be inflammatory processes and diseases of the female genitals. Among such diseases may be vaginitis (inflammation of the vagina) or cervicitis (inflammation of the cervix). If there are such diseases, the bleeding may not be related to sexual intercourse, but they appear unexpectedly, even when the woman is at rest. Fungal or bacterial infections can cause inflammation, as well as personal hygiene. Taking certain medications may also cause bleeding from the vagina in women. The inflammatory process occurs on the background of a reduced immune system and is treated with antibiotics.
  • Spotting may be caused by sexually transmitted diseases and infections (STDs). In addition, the discharge may be accompanied by an unpleasant sensation of burning and itching.
  • One of the most common culprits for bleeding women is polyps and erosion. If they occur after intercourse, spotting may occur. Erosion and polyps need timely treatment. Most often, polyps are removed, and erosion is cauterized by various methods.
  • Vaginal discharge of blood is sometimes the result of endometrial hyperplasia, including after intercourse.

What else can cause vaginal discharge of blood?

  • Spotting after sexual intercourse may indicate endometriosis. Abundant and spotting blood from the vagina is just a sign of this disease. In the middle of the menstrual cycle, severe bleeding may occur, closer to the menstrual period, they are more likely to be smearing, and may appear after sex.
  • Sometimes bleeding can be associated with the process of ovulation. Sexual intercourse plays no role here. Most likely, ovulatory bleeding that occurs after sex is just a coincidence. The process of ovulation is natural and occurs, as a rule, in the middle of the menstrual cycle. He does not require treatment, as it is the norm of physiology. Sometimes, a doctor may prescribe herbal remedies to treat such bleeding.
  • The cause of bleeding can be oral contraceptives. As a result of their admission, the uterine mucosa becomes thinner and may bleed during intercourse. Late intake of a contraceptive pill or its omission may also lead to pseudomenstrual bleeding. Bleeding during oral contraceptive use can also be a side effect. It is necessary to consult a doctor. After all, blood discharge while taking OK may indicate that the drug does not suit you and must be replaced with another one.
  • Less commonly, uterine tumors and changes in cells in the cervix can be the causes of vaginal discharge.
  • Do not forget that your partner can also cause bleeding after sex. Blood in semen is a rare occurrence, but still having a place to be. It can cause, for example, diseases of the urinary system and urinary tract.

What should be done for bleeding?

You need to understand that most bleeding and heavy bleeding can be easily cured by a doctor. It is for this reason that you should not postpone the visit to a doctor, which will help to identify the cause and eliminate it. If the bleeding is also accompanied by pain or too much, then the doctor should be contacted immediately.

Rare, but still there are cases of internal bleeding. Not always internal bleeding may be accompanied by signs of external. The main symptom of internal bleeding is a sharp pain in the lower abdomen, with a cramping character. Such pains can be observed in the perineum, groin folds, lower back. Internal bleeding may indicate the presence of the following diseases:

  • ovarian cyst rupture
  • ovarian rupture
  • ectopic pregnancy,
  • started or threatened miscarriage.

As a rule, internal bleeding is accompanied by the following symptoms:

  • tachycardia,
  • bleeding accompanied by sharp pains
  • excessive sweating,
  • pallor of the skin
  • dizziness and weakness
  • a sharp decrease in blood pressure.

If at least several of these symptoms appear, it is recommended to call an ambulance as soon as possible, because this may indicate internal bleeding.


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Другие причины появления кровяных выделений после полового акта

  • Нормой являются кровянистые выделения после первого полового акта. In most cases, as a result of the first sex, the virgin membrane is broken, which leads to vaginal bleeding. Very often, after the first sexual intercourse, no blood is observed. This suggests that the hymen is very thin. But if it is thick enough and dense, then in this case, the bleeding can not be avoided. They may even be very abundant.
  • One of the causes of blood secretions may be pregnancy. In the first trimester of pregnancy, a woman can observe weak, sometimes even spotting blood. You should not be indifferent to this situation, because any pathological discharge during pregnancy can end sadly for a woman and a child.
  • Bleeding during sex can also cause adenomyosis. Under adenomyosis means a violation of the functional activity of the mucous membrane of the uterus, or endometrium. It should be said that the disease can be both congenital and acquired. The cause of adenomyosis can be both inflammatory diseases and surgical interventions.
  • Sometimes bleeding causes irritation of the vaginal walls. This can occur as a result of using tampons, frequent and rather rough masturbation. As a rule, discharge as a result of these reasons ceases soon and does not require treatment. It is recommended only to limit these points.
  • The cause of uterine bleeding after sexual intercourse during pregnancy can be low or even complete placenta previa: when it is located in the lower part of the uterus. With full previa placenta, the natural exit from the uterus is completely blocked.
  • The appearance of blood may indicate premature exfoliation of the placenta, which requires emergency medical care. A pregnant woman is recommended to lie down for half an hour after every sexual intercourse. This is necessary so that the uterus finally calms down.

So, as has already become clear, the causes of blood discharge after intercourse may be very different. In no case can not turn a blind eye to this problem. You must understand that any pathological discharge can lead to sad consequences. A timely visit to the doctor will help you determine the cause of the problem and solve it. It may require a fairly long treatment. But what could be more important for a woman than the desire and opportunity to have a child?

Before planning to conceive a child, it is necessary to eliminate all the existing problems. Very often, gynecological problems cause miscarriage and the inability to carry the child. Think about it and pay attention to your health. Strengthen immunity, lead a healthy lifestyle and try to avoid sexual intercourse with different sexual partners. This can cause many gynecological diseases.

When to see a doctor

If you are in premenopause and you have infrequent episodes of vaginal bleeding after sex. If you are postmenopausal, consult your doctor to make sure that the cause of your vaginal bleeding is not something serious.

You should also consult with your doctor if you have any of the following symptoms:

  • Vaginal itching or burning.
  • Stitching or burning sensation when urinating.
  • Painful intercourse.
  • Heavy bleeding from the vagina.
  • Severe abdominal pain.
  • Lower back pain.
  • Nausea or vomiting.
  • Unusual vaginal discharge.

Why after intercourse is bleeding: infectious causes of pathology

Many women ask their gynecologists the question: why after intercourse is bleeding? Some diseases can cause inflammation of the tissue in the vagina, which can lead to bleeding.

Polyps - neoplasms that do not develop into malignant tumors. They are sometimes found on the cervix or in the endometrium of the uterus. On its leg, a polyp dangles like a round pendant on a chain. But why after intercourse is blood in the case of a polyp? The fact is that the movement of a polyp can irritate the surrounding tissues and cause bleeding from small blood vessels. Changes in the cervical epithelium, known as dysplasia, erosion, and precancerous lesions, do not pose a serious threat until they turn into cancer. All of these conditions, including the malignant variant, often do not have any symptoms or symptoms do not appear clearly.

Therefore, unfortunately, patients often seek medical help when the disease has already reached a dangerous level. Irregular vaginal bleeding is a common symptom of cervical cancer or vaginal cancer. A sign of these diseases may be postmenopausal bleeding. These types of cancer are most common among women over 50 or women who have gone through menopause.

You may be at greater risk of post-coital bleeding if:

  • you are in perimenopause, menopause or postmenopause,
  • recently had a baby or breastfeed,
  • have sex with several partners without using a condom,
  • not fully agitated before sexual intercourse.

Serious complications from post-coital bleeding are rare, if the reason why there is blood after intercourse is not cancer or a running infection. Anemia may be a possible complication of bleeding. Severe or prolonged bleeding can lead to iron deficiency anemia, since the red blood cells in the body are depleted as a result of blood loss.

Signs of anemia include: fatigue, weakness, dizziness, headaches, and unusual paleness of the skin. If your anemia is caused by blood loss, your doctor may prescribe iron supplements. But the most important source of iron is diet. Include meat, eggs and fish, as well as green vegetables. If you often experience vaginal dryness, you are at greater risk of a urinary tract infection.

The cause of your vaginal bleeding will determine the treatment strategy. If the bleeding is caused by vaginal dryness, intimate lubricants can help. They will reduce the uncomfortable friction of the penis in the vagina. Avoid products containing parabens or propylene glycol. If vaginal dryness is caused by menopause or ovarian removal, talk to your doctor about estrogen therapy.

Topical estrogen-containing products include vaginal creams and suppositories. Another option is an estrogen-containing flexible ring that is placed in the vagina. It releases a low dose of estrogen for 90 days. Vaginitis can be caused by an infection or vaginal dryness. But sometimes the cause of this disease can not be established. Depending on the cause of the condition, your doctor may prescribe an antibiotic.

Antibiotic preparations may also be prescribed to treat inflammatory diseases of the pelvic organs and STDs. If the cervix was damaged due to an infection, a specialist can remove the affected cells with silver nitrate or cryosurgery (freezing the damaged area). Sometimes bloody urine as a result of bleeding from the urinary tract or blood from the anus, which is due to bleeding from the gastrointestinal tract, can be mistaken for vaginal bleeding. Any unexplained bleeding should be evaluated by a specialist.

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