Health

Does sexual intercourse end with the release of blood? What is the reason?

Pin
Send
Share
Send
Send


In the media, in the Internet publications quite regularly you can see the questions that interest many women - they are connected with intimate life. For example, why do you bleed during sex? Many women complain that during the hollow act or immediately after it there is bleeding, although the menstruation is long gone. Some immediately turn to the doctor, are undergoing treatment with some drugs, but the problem still remains. What to do in this case, when blood appears during sex?

It should be said that the main cause of this phenomenon lies precisely in the female genital disease, therefore in all cases it is recommended to undergo a full course of examination by an experienced gynecologist.

Some experts advise doing colposcopy for the presence of genital infections, smear on the flora and oncocytology. If there are no problems with this, the reason why blood was bleeding during sex could be the fragility of the cervical vessels.

Most gynecologists claim that the cause of the appearance of blood during sex is endometriosis. In the presence of this disease, endometrial cells line the uterus from inside, and the cells responsible for menstrual flow extend beyond its border, attaching to the cervix, but at the same time behaving as they should be - filled with blood once a month.

This disease is characterized by the fact that before menstruation, small doses of bleeding are excreted in limited areas of endometriosis, which lead to an accumulation of blood and lead to the appearance of lesions called chocolate cysts due to the color of their contents or endometriomas. This discharge can frighten a loving couple, puzzling why blood is bleeding during sex?

Endometriosis usually affects organs and tissues located close to it - the ovaries, the muscles of the uterus, the peritoneum of the bladder, the space behind the uterus, the rectum and sigmoid colon, the cervix and the vagina. There are also cases of postoperative endometriosis scars.

Far less common are foci of endometriosis in distant organs such as the lungs or the brain.

The cause of this ailment is still not fully understood. The mechanism of development of this disease is quite complex, one that includes changes at the level of genes, cell enzymes and hormone receptors. These changes lead to increased activity of endometrioid cells. Such activity is not suppressed by defense mechanisms. Due to retrograde menstruation, which release menstrual blood into the fallopian tubes and then into the peritoneal cavity, active endometrial cells are grafted on the peritoneum surrounding the uterus, and also "settle" on adjacent organs.

Endometriosis is considered a disease of reproductive age, characterized by a progressive course that supports the cyclic function of the ovaries and stops developing with the onset of menopause.

Some experts explain why blood appears during sex, the presence of polyps, erosion, and cervical cancer.

Also such a situation, when blood appears during sex, can be observed in the case when a girl has had a too long period of abstinence, not enriched with sex life. But the possibility of a reverse situation is also not excluded, when having too vigorous sex causes injury to the mucous membrane of the vagina, or leads to other similar injuries.

All the above facts can provoke the appearance of blood during sex, but only a competent gynecologist can give an answer to all urgent issues after careful examination and examination of his patient.

Definition and prevalence

Pathological secretions have no connection with the menstrual cycle. They can occur on any day, be practically invisible or rather intense, accompanied by pain during sexual contact.

This symptom is observed in 1-9% of women of the fertile period.

In 30% of patients with this symptom, abnormal uterine bleeding is present at the same time, in 15% there is pain during sexual contact.

Depending on the level of damage to the genital organs, the nature of bleeding may vary:

  • with the involvement of the uterus, blood clots formed in its cavity can be released,
  • if a pathological process, such as inflammation, affects the neck, mucus appears in the blood,
  • when the external part of the neck or vaginal walls is affected, scarlet blood is released.

Intense bleeding is not excluded the likelihood of internal bleeding, for example, with vaginal injuries. Therefore, it is necessary to immediately call a doctor, if at the same time with the vaginal discharge there are such signs:

  • increasing abdominal pain,
  • flatulence,
  • pale skin and mucous membranes,
  • cold sweat,
  • weak pulse
  • heart palpitations
  • shortness of breath, severe weakness,
  • pressure drop, dizziness, fainting.

The main causes of blood after intercourse:

  1. Benign growths: polyps of the uterus, her cervix and ectropion.
  2. Infections: cervicitis, pelvic inflammatory diseases, endometritis, vaginitis.
  3. Lesions of the external organs of the reproductive system: herpes, syphilis, genital warts, venereal lymphogranuloma, soft chancre.
  4. Vaginal atrophy in old age, pelvic organ prolapse, benign vascular neoplasms (hemangiomas), endometriosis.
  5. Malignant tumors of the cervix, vagina, endometrium.
  6. Injuries due to sexual abuse or the presence of a foreign body.

If a woman has blood during sexual intercourse, the likelihood of cervical cancer is between 3 and 5.5%, and the risk of cervical intraneoplasia is up to 17.8%.

In a significant proportion of patients, in more than half of the cases, doctors still fail to figure out why coitus provokes bleeding. However, the condition should be considered as a potential indicator of cervical neoplasia (precancer) and cervical cancer.

Isolation of blood after sexual intercourse is typical for women of reproductive age, and it is less common in young patients.

There are also physiological reasons for this condition:

  1. The girl after the first sexual contact with damage to the hymen.
  2. In the middle of the cycle, some blood can be released during ovulation.
  3. Spotting before menstruation may be a sign of the introduction of a fertilized egg into the endometrium.
  4. Vaginal discharge may occur during the first weeks after delivery, until the uterus has fully recovered.
  5. Blood after intercourse during pregnancy is normal and does not require treatment. About him should inform the observant gynecologist at the next visit.

Spotting may occur during sexual contact, immediately after it and after a while. If blood appeared immediately after sexual intercourse, diseases of the vagina and the outer part of the neck are most likely. With these pathologies, the damaged tissue is mechanically injured, which is accompanied by a violation of the integrity of the vessels.

If blood discharge is more characteristic the next day after sexual intercourse, it is necessary to exclude the pathology of the endometrium, that is, the inner uterine layer. In this case, the mechanical action is not so significant, greater importance is attached to the increased blood flow in the walls of the uterus. At the same time, pathologically changed tissues have an increased vascular permeability. Erythrocytes leave the arteries, accumulating first in the uterus and after some time exiting through the cervical canal into the vaginal cavity.

Major diseases associated with bleeding

Malignant tumor

Postcoital blood secretion occurs in 11% of women with cervical cancer. This disease is the second most common type of cancer among women worldwide. The average age of the manifestation of pathology is 51 years. The main risk factor is infection with HPV, as well as reduced immunity and smoking.

In recent years, the incidence of post-coital bleeding in cervical cancer has decreased significantly. This is due to an earlier diagnosis of the tumor, when the tissues have not yet decay, and the vessels are not damaged. Cytological cervical screening and HPV testing can detect precancerous and cancerous diseases, which is especially important given their long asymptomatic course.

The main types of cervical cancer are squamous cell carcinoma and adenocarcinoma. The latter is less likely to cause bleeding, because it is located higher in the cervical canal and is protected from damage during intercourse.

Bleeding occurs more often with advanced cancer than with the initial stage of cancer.

Another type of gynecological cancer, accompanied by the release of blood after sexual intercourse, is vaginal. It constitutes 3% of malignant tumors of the female reproductive system. Most often the tumor is located on the back of the upper third of the vagina.

Bleeding in postmenopausal women is usually associated with endometrial atrophy, however, this symptom is also noted in 90% of patients with uterine cancer.

Finally, there are primary malignant tumors of the lower reproductive system, in which blood is released after sexual contact. These include, in particular, non-Hodgkin's lymphoma.

Cervicitis

This is an acute or chronic inflammation of the internal tissues of the cervix. The disease is characterized by watery or mucopurulent discharge, as well as bleeding immediately after intercourse. Acute cervicitis is caused by chlamydia, gonococcus, trichomonas, gardnerella, mycoplasma. Chronic cervicitis usually has a non-infectious origin.

This disease must be treated promptly, because the infection can rise in the upper genital tract and lead to serious complications:

  • pelvic inflammatory disease,
  • infertility
  • chronic pelvic pain,
  • risk of ectopic pregnancy.

Endometritis

Inflammation of the inner lining of the uterus, which can be acute and chronic. The acute course is accompanied by the presence of microabscesses in the endometrial glands. Chronic endometritis is caused by infectious agents, foreign bodies, polyps, fibroids. One third of patients have no apparent cause of the disease.

Most women with chronic endometritis have heavy menstruation and intermenstrual bleeding, but it is often preceded by postcoital blood secretion.

Cervical polyps

Neck polyps are not infrequent findings when looking at the neck. They can become a source of postcoital bleeding in secondary trauma. Polyps are observed in 4% of gynecological patients. These are the most common benign tumors of the genital tract.

Cervical polyps usually occur in multi-growth women aged 40 years or more. More often they are single, but there are also multiple ones, and the likelihood of bleeding after sexual intercourse increases. Polyps are smooth structures with a lobular structure that bleeds easily when touched.

Ectropion

This is the exit of the endocervical epithelium to the external surface of the cervix, a kind of “eversion” of the cervical canal. Most women with this condition complain of vaginal contact discharge. Ectropion is observed in girls, pregnant women and women taking hormonal contraceptives.

The cylindrical epithelium, which emerges from the canal to the surface of the cervix, is less durable than flat, therefore it is more easily damaged.

Prolapse of the pelvic organs

Contact with bleeding can result in pelvic organ prolapse when the penis is inserted into the vagina. The risk factors for this pathology are obesity, old age, remote uterus, persistent constipation, and cough.

Diseases of the vagina and vulva

As a result of lowering the level of estrogen, which inevitably occurs in women with age, the production of vaginal mucus decreases, the nutrition of its tissues worsens. One of the main causes of postcoital bleeding in the elderly is vaginal atrophy, or atrophic vaginitis.

Pathology is characterized by complaints of dryness and burning in the vagina, pain during sexual intercourse, a decrease in the release of lubricant, discomfort in the pelvic region.

Also to the release of blood can cause skin disease of lichen planus.

Benign Vascular Neoplasms

Vascular tumors of the female reproductive organs are rare and include hemangiomas, lymphangiomas, angiomatosis, and arteriovenous malformation. Most of these formations do not manifest themselves and are accidentally detected during a gynecological examination. However, if they are located superficially or on a large scale, mechanical damage to the blood vessels during sexual contact can cause bleeding.

Diagnostics

To clarify the reasons for the appearance of blood from the vagina after intercourse, the doctor applies the following diagnostic methods:

  1. Clarification of the history: patient age, duration of bleeding, the presence of diseases of the vagina and cervix, abnormal smear results, genital infections.
  2. Examination of the cervix to exclude ectropion, erosion, ulcers of the cervical canal or polyps.
  3. Gynecological smear followed by diagnosis of sexually transmitted infections, especially chlamydia.
  4. Transvaginal ultrasound to assess the endometrium.
  5. Colposcopy for suspected precancerous conditions or a malignant cervical tumor.
  6. Paypel biopsy for suspected endometriosis or uterine tumor.
  7. With repeated bleeding, normal colposcopy and a good smear result, hysteroscopy with biopsy of the inner layer of the uterus is shown.

Colposcopy is the most informative, but not mandatory method of research. It is prescribed to women with suspected neoplastic lesions, pseudo-erosion or ectropion only with abnormal Pap smear and / or visible cervical lesions.

In postmenopausal women, an ultrasound examination of the uterus or endometrial biopsy is performed immediately.

Treatment and Prevention

Bleeding after sexual intercourse is not a disease, but a symptom of a disease. Therefore, to eliminate it, it is necessary to know the cause of the pathology. Sometimes it is not possible to identify it, and any dangerous diseases are not diagnosed. In this case, only regular follow-up with a gynecologist is recommended.

If, after the examination, problems with the thyroid gland, liver, kidneys, blood clotting system are found, the efforts of the doctors will be directed to the treatment of these diseases.

Conservative and other treatments for post-coital bleeding:

  • If the cause of this phenomenon is the endometrial precancer, progesterone drugs are prescribed. They slow down the development of malignant cells.
  • If the patient has polyps, hemangiomas, or other benign neoplasms, they are surgically removed. Minimally invasive procedures are used, for example, cryosurgery, radionoze, laser irradiation.
  • In the event that the cause of the bleeding is an infection (cervicitis, nonspecific or chlamydia vaginitis, gonococcal), antibiotics should be prescribed. They are appointed by the course, after which the woman again smears on the microflora and purity of the vagina.
  • Isolation of blood during sexual intercourse during pregnancy is not dangerous if it lasts briefly. It is recommended to reduce the intensity of sexual activity and report discharge to an obstetrician. With the appearance of pain in the abdomen, you should consult a doctor as soon as possible, since this condition often accompanies the threat of abortion.
  • Endometriosis can be treated with hormonal agents or surgically.
  • In case of excessive outflow of blood, provoked by sexual intercourse, scraping of the uterus cavity may be necessary, but this condition occurs extremely rarely.
  • When diagnosing cervical cancer, you need a comprehensive treatment by an oncogynecologist. An organ amputation, removal of nearby lymph nodes, chemotherapy, and radiation are performed.

To preventive measures include the following actions:

  1. Compliance with the rules of sexual hygiene, the use of condoms or contact with only one partner.
  2. When vaginal dryness - the use of lubricants.
  3. Regular examination by a gynecologist with smear and cytological examination.

Types of dysfunction

Genital bleeding (uterine, vaginal) is accompanied by many gynecological disorders, pregnancy pathology, labor, and the early postpartum period. In rare cases, blood loss from the genital tract - a consequence of injury or pathology in the blood.

The reasons for this condition are many. They differ in intensity and can lead to various consequences.

Vaginal bleeding is directly related to infection or mechanical trauma, and uterine bleeding is associated with diseases, hormonal dysfunction, and ovulation.

Beginning in adolescence with menstruation, regular vaginal blood loss begins to accompany every healthy woman, and this is the norm. On average, physiological blood loss ranges from 40 to 80 ml.

Аномальные состояния и причины, почему идет кровь из влагалища:

  • Дисфункциональное расстройство – патологическое кровотечение на фоне гормональных нарушений.
  • Organic disorder - pathological bleeding that develops in the pathology of the genital organs.
  • Iatrogenic disorder in which bleeding is a consequence of the use of contraceptives, antithrombotic drugs, the installation of a spiral.
  • Uterine bleeding during gestation, labor, in the postpartum period.
  • Juvenile bleeding.
  • Postmenopausal dysfunction.

By the nature of the bleeding from the vagina can be cyclic (menorrhagia) or acyclic (metrorrhagia).

Cyclic lasts more than 6-7 days, with abundant temperament, about 100 ml. Acyclic dysfunction is not tied to the menstrual cycle, it occurs at an indefinite time.

Endometritis

In the acute stage of the infection, fever begins in a woman along with merorrhagia, and the lower third of the abdomen is painful. On examination, the uterus is enlarged, painful. The disease in a chronic form passes without fever, a pronounced pain syndrome is not observed. The development of endometritis provokes a post-abortion or postpartum period.

With tumors, in addition to menorrhagic dysfunction, a woman worried about pain, discomfort of urination and defecation. On examination, the doctor finds an increase in uterus size. Uterus with a rough, bumpy surface, compacted, palpation does not cause pain. In pathology, alternation of menorrhagia with metrorrhages is possible.

Endometriosis

In endometriosis, menorrhagia is accompanied by morbidity (algomenorrhea), which progresses over time. On examination, the doctor notes an increase in the uterus. The smoothness of the surface with endometriosis preserved.

Regardless of pathology, menorrhagia - copious bloody discharge with clots. A woman complains of weakness, a sharp deterioration of the general condition, dizziness, fainting.

Prolonged blood loss leads to severe iron deficiency anemia.

Metrorrhagia

If a woman is not menstruating, but she is bleeding, then this is metrorrhagia. This condition develops on the background of physical and psychological fatigue, work in hazardous industries, inflammatory diseases, tumors and endocrine disorders.

Metrorrhagia occurs at any time, and if a woman bleeds spontaneously, “out of the blue” - an acute stage of the process goes on. Chronic metrorrhagia is determined by prolonged intermenstrual bleeding with impaired cyclicity.

Postmenopausal metrorrhagia

Dysfunction develops on the background of the extinction of the ovaries. Monthly at first irregular, with time completely stop. With the onset of postmenopausal metrorrhagia - symptoms of benign and malignant tumors formed.

If a woman has no monthly periods for more than a year, started metroraggy is an undesirable and dangerous symptom. Should consult a specialist as soon as possible.

When to consult a doctor?

There are several additional signs and conditions by which the dysfunction that has begun can be suspected:

  1. In the menstrual blood clots appeared.
  2. Sexual intercourse is accompanied by soreness and bloody discharge.
  3. A woman complains of causeless fatigue and weakness, hypotension.
  4. From menstruation to monthly pain increases.
  5. Menstruation is accompanied by fever.

If the monthly period lasts more than a week, the cycle is reduced to 21 days, the discharge is more normal or blood is between the months, the woman can not be postponed. Should as soon as possible contact your gynecologist.

Why does blood appear during intercourse?

The causes of blood during sex are quite diverse and are not always associated with menstruation. It is a mistaken opinion that blood during sex can only be in the case of loss of integrity of the hymen. Sometimes it indicates the development of dangerous diseases.

The most common causes of blood are.

  1. As already mentioned, the first in the life of sexual contact with a girl. In this case, the hymen, rich in blood vessels, is broken. Bleeding may not appear - it all depends on the anatomical features of the genitals and the experience of the partner. It also does not happen if the chaff was destroyed as a result of injury or masturbation.
  2. Damage to the vagina during sexual contact, if it is too sharp and intense. Sometimes with too active sex, damage to this organ and even the cervix is ​​possible.
  3. Infectious diseases (most often - endometritis, cervicitis, vaginitis).
  4. Endometriosis - the formation of nodes and atypical cells in the endometrium of the uterus.
  5. Acceptance of certain hormonal medications (and most often incorrect). In this case, the bleeding may be before and during the contact.
  6. Polyps - growths with a leg in the vagina, sometimes in the cervical canal. Occur as a result of HPV. Causes bleeding before and during contact. Papillomas threaten malignant rebirth.
  7. Erosion can also cause bleeding from the genital tract.
  8. Some tumor changes in the uterus or vagina.
  9. Drinking aspirin can also cause bleeding not only during contact, but also in front of it. The fact is that acetylsalicylic acid changes the process of blood coagulation. In addition, this drug thinns the inner wall of the vagina, making the risk of bleeding even more increases.

What you need to know about the diseases of the female genital organs

Sometimes women may begin bleeding after sex, not associated with menstruation. This is very scary of the fair sex. In any case, it is necessary to consult a doctor, as if bleeding has gone, it can speak about serious diseases.

One of the most dangerous diseases of women is cervical cancer. Often in the early stages this process may not manifest itself. Often, a woman may not pay attention to the fact that before, during or after sex, she has a discharge of blood and not know why they appear. The doctor can determine the disease only after a thorough examination.

Bleeding that is not associated with menstruation may also occur during a terminated pregnancy. Sometimes spontaneous abortion is characterized by mild pain, but this is not always the case.

And if bleeding from the genital tract after menstruation went, and in the last cycle there was a probability of pregnancy, one should not reject the fact that it can be interrupted.

In many cases, blood from the vagina can be released due to endometriosis. With this disease, the discharge may be before menstruation. Endometriosis is very dangerous, as it can affect the ovaries, muscle tissue of the uterus, bladder, intestines. The danger of the disease lies in the fact that in many cases, doctors can not accurately determine why it appears. The pathology is progressive.

Sometimes bleeding occurs when taking hormonal drugs. Their excessive use leads to a breakdown of the hormonal background, the threatened appearance of various diseases of the female genital organs of varying degrees of malignancy. It is very difficult to treat them. That is why before taking hormonal drugs you should consult a doctor.

Women need to remember that the appearance of blood during sex may be due to the pathological activity of the fungal flora. After all, with many of these pathologies, women are bleeding, not related to menstruation.

In rare cases, contributing factors of bleeding manifest themselves in cervical dysplasia. Such diseases are determined only after a thorough analysis of the secreted.

What is uterine bleeding

It is a condition in which blood is plentifully flowing from the female genital organs. Often this happens in violation of the hormonal background. It often happens after sex. That is why women need to be especially attentive when such symptoms appear:

  • weakness,
  • blanching of the skin integument,
  • dizziness, sometimes headache,
  • lowering blood pressure
  • a woman cannot do ordinary things, since she is bleeding profusely,
  • blood clots appear.

Sometimes women bleed because of stress, climate change, professional factors. In these cases, to eliminate them, it is desirable to eliminate the influence of harmful factors. However, there are more serious reasons why uterine bleeding develops:

  • miscarriage,
  • ectopic pregnancy,
  • ovarian or uterine tumors,
  • inflammatory pathologies.

In all these cases, emergency assistance is needed.

How dangerous is internal bleeding?

It is not always accompanied by discharge from the genitals. It is always accompanied by a sharp, cramping pain. Women quickly develop signs of anemia. Symptoms of sharply increasing anemia are:

  • fainting,
  • sharply increasing dizziness,
  • growing weakness
  • heartbeat
  • weak pulse
  • copious sweat.

Note that in all these cases it does not always bleed from the female genital organs. The danger of it is that the body can lose a large amount of it. This causes malfunctions in the heart, lungs, brain. Blood can squeeze vital organs, disrupting their work. Perhaps the development of gangrene of the extremities.

In severe cases, death is possible. This is due to exsanguination of the body and a sharp disruption of the cardiovascular system.

Treatment for bleeding after sexual contact

The goal of treating this condition is to stop the bleeding immediately. If blood appeared after the first sexual intercourse, then specific treatment is not required. The excretion of blood quickly stops. It is important to ensure peace and carefully follow the rules of hygiene.

In case of uterine dysfunction, it is necessary to prevent the re-bleeding. This can be achieved by introducing hormonal drugs. Scraping of the uterus is resorted to only in extreme cases, if treatment is not possible with a different way to stop the bleeding.

In other cases, the traditional treatment is to take drugs that increase blood clotting and optimize the balance of hormones. The selection of medication takes into account such factors:

  • main pathology
  • age,
  • features of menstruation,
  • the amount of blood that is released during the cycle,
  • having sex and its regularity,
  • body condition
  • the presence of allergic pathologies.

Among the folk remedies used broths of medicinal herbs for oral administration or douching. The most effective - barberry, viburnum, pine forest. They must be used only for medical reasons.

So, blood during sex is not always a safe symptom. If this happens often, you should consult a doctor.

Etiology of the phenomenon

Blood during sexual contact may appear for the following reasons:

  1. Damage that has occurred mechanically. Sometimes, with too passionate sex, the mucous membrane and cervix can be injured. Sometimes damage to the vaginal walls or injured arch. If after intimacy the girl feels a strong acute pain, and she begins to bleed profusely, she should urgently visit a specialist, otherwise there can be serious consequences.
  2. Bleeding during sexual intercourse may indicate some sexual disorders, as well as the presence of inflammation in the body. If this is an inflammatory process in the vagina or cervix, then such manifestations occur spontaneously, and not only during or after the act. Inflammatory diseases can be triggered by neglecting basic body hygiene, bacteria or fungal infections in the face of reduced immune protection. As a rule, it is treated with antibacterial agents. By the way, taking medication can also provoke a discharge with blood.
  3. Blood during sexual intercourse can go if there are diseases and infectious processes that are transmitted through sex. Such secretions are usually characterized by burning sensations and discomfort in the intimate area.
  4. Erosion or polyps are a very common cause of bleeding after sexual contact. At the same time their volume is very small, the discharge is smearing. Both polyps and erosion need to be treated: erosion is usually cauterized using different methods, and polyps must be removed.
  5. When endometrial hyperplasia after sex is characterized by discharge from the vagina with blood.
  6. Endometriosis is a common cause of vaginal bleeding during sexual contact. In this disease, the discharge can be both very abundant and scarce smearing. Usually on the 10-15 day cycle of bleeding more abundant, and the closer to menstruation, the more scarce they are.
  7. The process of ovulation can also trigger a discharge with blood. At the same time, sexual contact itself was not the case, and most likely blood was accidentally sent. The ovulation process is a completely natural phenomenon, it occurs somewhere in the middle of the cycle, treatment is not required. But if blood is ovulated regularly, the doctor may prescribe drugs with herbal ingredients.
  8. Contraceptives can also cause breakthrough bleeding. When a woman takes them, the uterine mucosa becomes thinner, that is, during intercourse, it can easily be injured and bleed. Pseudomenstrual bleeding can occur if there was an omission of a regular pill or taking several pills at once. Often, blood discharge when taking hormonal contraceptives is a side effect, so it is very important to consult a doctor at the first symptoms of bleeding. Most likely these contraceptives simply do not fit the girl, and the gynecologist will help you choose the right drug.
  9. When tumors of the uterus of different etiologies may bloody, but this is an infrequent phenomenon.
  10. A rare phenomenon, but not exceptional in the appearance of blood after sex can be the fault of a man. In his semen in diseases of the urinary tract and urinary system may contain an admixture of blood.

Diagnostic measures

If blood is a frequent occurrence during intercourse, it is necessary to undergo a series of diagnostic procedures. It is necessary to find out the cause of this manifestation; in diagnosis, the thyroid gland, chest and pelvic organs should be more carefully examined.

The survey may include the following procedures:

  1. To exclude fungal and infectious diseases, a smear is taken from the cervix.
  2. To identify the inflammatory process in the body will help blood test, in addition, it will show the presence or absence of anemia.
  3. Be sure to donate blood for clotting and prothrombin index.
  4. How the thyroid gland, liver and kidneys, will show a biochemical blood test.
  5. It is necessary to donate blood for hormones. In terms of progesterone, the doctor will be able to determine the presence or absence of an ectopic pregnancy and make sure that the ovulation process is proceeding normally. You need to identify an indicator of testosterone, which can cause hormonal disruption in a woman's body.
  6. A pelvic ultrasound is shown to check the functionality of the organs.
  7. If blood is constantly flowing during sex, an endometrial biopsy should be performed to rule out a precancerous or cancerous condition.

What complications can postcoital bleeding cause?

Blood during sex in a healthy woman can go only because of mechanical damage, in all other cases this is the beginning of a pathology that can be both frivolous and very dangerous for women's health. With abundant and regular bleeding, a woman can develop anemia, even a one-time large blood loss can cause such a condition. Frequently repeated bleeding after sex can change the menstrual cycle and ovulation, after which it can be difficult to conceive and carry a child. The quality of sex life may also suffer.

Necessary treatment

Any uterine bleeding should be treated only after establishing the causes that caused it. As a conservative treatment, the most commonly used drugs that affect blood clotting, various hormonal and non-hormonal agents are designed to establish the hormonal balance in the body.

When approaching the choice of drugs, it is necessary to consider both the clinical picture and the individual characteristics of the woman. The choice of medications is influenced by the patient's age, existing diseases, the regularity of the cycle, the presence of a permanent sex life, chronic diseases, allergies, the general condition of the body and other factors.

If we talk about surgical intervention, it should also have clear indications. Here again the cause of the disease is important. In some cases, removal of the uterus, surgical manipulation of the ovaries, treatment or cautery of erosion, solution of the problem of overgrown endometrium, etc. are indicated.

Folk remedies

Traditional medicine also offers its own ways to eliminate post-coital bleeding:

  1. Stinging nettle is the most common remedy in the treatment of uterine bleeding. It is necessary to take 1 tbsp. l nettle and pour a glass of boiling water for 10 minutes, boil the mixture on very low heat, then let it cool and strain. Take a decoction of 3-5 Art. l everyday. If a woman buys a pharmacy extract of nettle, then it is worth taking 40 drops in half an hour before meals.
  2. The yarrow also successfully stops uterine bleeding after sex of various etiologies. To prepare the infusion will need 2 tsp. сырья, их надо залить стаканом кипятка, оставить на час, затем процедить и принимать по ¼ стакана до еды 4 раза в день.In addition to uterine bleeding, yarrow copes with pulmonary and intestinal bleeding. It can also be brewed as tea, and you can add a sprig of grass to brewing. This means drink a glass 3 times a day.
  3. Not bad in the fight against bleeding itself recommended viburnum. You can squeeze the juice out of it, mix it with sugar in a ratio of 1 kg of juice to 2 kg of sugar. And there are 2 tbsp. l several times a day with water.
  4. Kalina can also be insisted in a thermos: add 0.5 tbsp of 0.5 l to 0.5 l. l berries There are liquid and alcohol extracts of viburnum, they are used in 30 drops per day, diluted in water.

Folk remedies are certainly not contraindicated, but can only be used as an additional treatment. Before using them, you should consult with your doctor in order not to harm and not aggravate the disease.

Provocative factors of coital secretions

Women need to be more attentive to their health. Blood during intercourse can appear due to the following reasons:

  • a large penis in a man who caused damage to the vagina
  • use of various sexual devices introduced for the purpose of masturbation,
  • ovulation, when sexual intercourse occurs in the middle of the cycle,
  • infections, sexually transmitted diseases, sexually transmitted diseases,
  • the proliferation of polyps in the cervix and the formation of a benign tumor,
  • long-term use of vaginal hormonal contraceptives, contraceptives, blood thinners, antibiotics,
  • endometrial thinning, erosion, excessive dryness in the vagina, hemorrhoids, endometriosis,
  • rare or, conversely, too frequent sex,
  • development of cervicitis, vaginitis, candidiasis in the vagina, Escherichia coli, HPV (human papillomavirus),
  • installation of the intrauterine device, which led to mechanical friction and wounds on the walls of the uterus.

All these factors can cause vaginal bleeding, while the volume of discharge can be as scant in a few drops, and abundant, resembling the onset of menstruation.

The most common causes of coital secretions

Among the safe reasons, the first sex is distinguished when, due to the rupture of the hymen, a blood trail is distinguished. This is quite normal with the appearance of odorless blood droplets and with the rapid cessation of bleeding. Although not always defloration occurs the first time. Many girls completely lose their virginity only during childbirth, when the rupture of the pleura is fully accomplished.

Mechanical damage is also a common problem when a large penis causes injury to the cervix or vagina. The reasons are sometimes rooted in congenital malformation - the anomalous structure of the vaginal walls with the presence of a forked septum. In this case, the rather tender cavity of the uterus is injured even by the slightest touch.

Cause bloody discharge can be sexually transmitted infections, as well as fungi, staphylococcus and papilloma viruses.

You should consult your doctor for the appointment of a course of antibiotics. With STDs, there is bleeding from the vagina, and this is one of the common causes of cervicitis or vaginitis in women. Under such conditions, discharge with blood does not depend on sex life, it can be observed any time. The vagina begins to bleed, there is a strong itching and burning, even in a calm state.

Endometriosis is also characterized by bloody copious or thinning secretions during or after intercourse. Often, quite heavy bleeding occurs in the middle of the menstrual cycle. If the couple practiced sex during menstruation, then the manifestation of bleeding can not even notice.

Polyps localized in the vagina and cervical canal, or human papillomavirus infection - a frequent phenomenon in women. At the same time, spotting appears. Benign growths in the form of purple or red growths grow, they usually affect the cavity of the cervical canal and lead to the development of cervicitis. The appearance of polyps is not associated with sexual intercourse, so bleeding can occur at any time, even in a quiescent state.

“Narosti” caused by inflammation, bacterial infection or papillomavirus are very dangerous. They can degenerate into a malignant tumor and require urgent removal by surgical or laser means, by the method of cryodestruction.

With erosion of the cervix, blood can flow even in the case of slight palpation or mechanical exposure to the penis. Open wounds in the organ cavity are quite easily treated today by cauterization or cold treatment (freezing). Doctors do not advise in case of suspicion of erosion delay treatment. Such ulcers, as well as polyps, human papillomavirus infection are dangerous degeneration into a malignant tumor.

Women need to be more attentive to their health, especially if they bleed during sex. Often the reason lies in the development of fungal flora, venereal infection, which can lead to serious inflammatory processes in the uterus, the formation of polyps and scars. They, in turn, are able to give impetus to further serious complications. In addition, you should immediately visit a gynecologist, if, in addition to bleeding, itching, burning and severe pain during intercourse.

Other causes of coital bleeding

Some drugs can provoke bleeding during sex:

  • diuretic and hormonal drugs,
  • vaginal suppositories
  • medications that can lead to a decrease in blood clotting, for example, aspirin,
  • contraceptives, leading to hyperplasia of the uterine mucosa, abrasion of its inner shell.

Possible causes of bleeding: blood diseases, pathological changes in the cervix and neoplasms require immediate identification, diagnosis and appropriate treatment, because over time they lead to the development of malignant processes in the vagina.

If the bleeding during intercourse has become permanent, women are advised to abstain from sex for a while and undergo an examination, to identify the cause.

It is possible that difficulties arise when the penis penetrates the vagina, which leads to injuries and ruptures in the uterus. In order to avoid such situations, women are advised not to allow dryness in the vagina, for a comfortable and full sex to use special lubricants.

Rarely, internal bleeding can also occur, which is accompanied by sharp pains in the lower abdomen, in the groin area, lower back and perineum. This indicates the development of serious problems: ectopic pregnancy, the threat of miscarriage, rupture of an ovary or a cyst, when the appeal to doctors should be already urgent.

The body of a woman is fragile and you need to constantly listen to him. It does not matter if the causes of bleeding are natural, and everything is within the normal range. If there are additional unpleasant symptoms, it is always better to treat the disease at the initial stage of their development.

Why after the first sex is bleeding?

The first intimacy intimidates many girls, because it is accompanied by sharp pain and bleeding. This is due to the rupture of the hymen, although the blood itself and the pain are not really obligatory conditions. Very often after the first, and even the second, it only breaks and only then the final break occurs. Spotting, as well as pain, may be at each of these sexual acts or absent altogether.

Is there much blood in the first act? Again, it all depends on the individual. Sometimes bloody discharge from the vagina can last for several days, and in intensity they are similar to menstrual. It does not go beyond, as well as changes in the menstrual cycle or too painful periods. This indicates an internal restructuring of the reproductive system and after about a couple of months the cycle is usually restored. If this does not happen, it is worth visiting a gynecologist to determine the cause.

Sexual intercourse and blood: when should the alarm be sounded and why?

In most cases, blood during intercourse does not pose a threat when the discharge is not accompanied by pain and passes during the day. Bleeding can be dangerous when:

  • the gasket has to be changed frequently,
  • the woman feels a strong, sharp pain,
  • dizzy, weakness in muscles,
  • among the secretions there are large blood clots,
  • has a not very pleasant smell,
  • accompanied by uterine spasms.

Even if the blood from the vagina has passed pretty quickly, it is worth visiting a gynecologist, especially for women after 40 years. This is necessary in order to eliminate hidden pathologies.

Ovulation and early pregnancy

During the entire menstrual cycle, invisible changes occur at the physiological and hormonal levels in the body. During ovulation, bleeding is completely possible and does not require treatment.
In addition, small drops of blood, including after intercourse, are possible at the beginning of pregnancy, when the egg is attached to the walls of the uterus.

Inflammation of the genitourinary system

Very often, after sexual intercourse, bleeding occurs due to inflammation of the genital organs: cystitis, cervicitis, vaginitis. Inflammation is most likely if blood does not appear only after sex. The reason is non-observance of intimate hygiene or reduction of vaginal immunity, as a result of which a fungal infection develops. Treat such inflammations with medication.

Sexually transmitted infections (STDs)

Trichomoniasis and chlamydia are the leaders of such bleeding. In such cases, not only blood after sex. The act brings inconvenience. A woman complains of itching and redness in the perineum due to the fact that vaginal discharge smells unpleasant. Impurities of blood in the discharge after sex appear due to internal irritation of the vaginal walls and microdamages of the blood vessels of the vaginal tissues.

Getting rid of them is easy. After the diagnosis, the doctor will select the necessary drugs (vaginal suppositories, antibiotics, bifid preparations). It is even easier to protect yourself from them - condoms and bactericidal agents provide reliable protection against STDs.

Medicines

Not all pills can cause bloody discharge after intercourse. The category of dangerous tablets can be attributed to worsening blood clotting, affecting the level of estrogen, as well as some means to combat insomnia, colds.
In addition, blood may appear if you take birth control pills for a long time, because this causes the walls of the vagina to become thinner, or if you missed another contraceptive intake. Changing contraceptives can trigger bleeding.

Vaginal dryness

The mucus on the walls of the vagina is a natural natural lubricant that protects them from damage during sex. With age in women, after 40 years, a decrease in the amount of lubricant. This phenomenon is called atrophic vaginitis. In addition, vaginal dryness is affected by damage (removal) of the ovaries, frequent douching, childbirth and breastfeeding, chemicals and allergens.

You can fix the problem using a lubricant that simulates a natural lubricant.

Mechanical damage

Often, blood from the vagina appears after violent, prolonged sex or because of too active movements of the partner. Sex toys also contribute to bleeding.

As a result of all this, fast-healing micro-tears, which are not causing any concerns, but also more serious injuries to the walls of the vagina or the cervical mucosa can appear. In severe cases, doctors have to put surgical sutures on the injured areas.

Ovarian, Ovarian Cyst, or Ectopic Pregnancy

If there is a lot of blood from the vagina, the reasons are unknown, then it can be dangerous. Especially if, together with a strong bleeding, a woman experiences a sharp pain in the lower abdomen, which can spread to the lower back. Other dangerous symptoms are pallor, excessive sweating, weakness, subtle pulse. All these are symptoms of damage to the ovaries and dangerous ectopic pregnancy. In all these cases, the only way out for the woman is emergency hospitalization, which can save her life.

Benign and Malignant Tumors

Neoplasms alter the inner walls, making them more susceptible to damage. Most often, the nature of such discharge is not abundant, but it happens all the time. Spotting in cancer of the uterus or cervix is ​​one of the first symptoms.
If you notice that blood from the vagina after coitus appears regularly, it is necessary to undergo a medical diagnosis in order to understand the nature of this discharge. Early diagnosis of cancer of the female organs will increase the chances of a successful cure.

Polyps and erosion

Not heavy bleeding are due to structural damage to the cervix. Most often, complaints of polyps and erosion are reported by women over 40, who also gave birth several times.

Erosion is called cervical damage, which at the beginning of development is easily treatable with cauterization. Polyps look like small grapes attached to legs. They may appear at an earlier age, but are most often found in adulthood. You can get rid of polyps with a simple operation.
hysteroscopy.

Vaginal septum rupture

Vaginal septum is longitudinal or transverse, is one of the anomalies, occurring once in 70,000 women. If the pathology of the girl could not be detected earlier, then the first sex for them can result in severe bleeding. If after the first time there is blood that cannot be stopped, then a rupture of the vaginal septum cannot be ruled out. Only hospitalization can help.

How is the diagnosis

Dark brown, red or pink discharge after intercourse is a reason to think about your female health, because it can be really dangerous for you. Why is this happening to you? The answer can be obtained only after a series of surveys, which include:

  • patient survey
  • gynecological examination of the cervix,
  • PAP smear (gynecological smear on infection),
  • colposcopy
  • hysteroscopy
  • pipe biopsy
  • transvaginal ultrasound.

How to stop bleeding

If the blood after intercourse and it scares you, help the body to stop the bleeding. Make it possible by taking hemostatic drugs. This should be done very carefully, because any pills have contraindications. After reading the instructions and adhering to its rules, you can stop blood loss without damaging your health.

Ditsinon and Vikasol - the most popular and affordable drugs from the hemostatic series. How to take them:

  • Ditsinon. The active ingredient is etamzilat. If blood has gone after the act, it is allowed to take 1-2 tablets. In the case of a bad effect, you can take another pill in 20 minutes. and then continue the treatment. The maximum duration is 5 days, one tablet per day.
  • Vikasol. The active ingredient is menadione sodium bisulfite. Take Vikasol similar to the first drug.
  • Water pepper tincture is one of the cheap and at the same time strong means to cope with the copious menstrual flow and bleeding caused by sexual intercourse. There are restrictions, you can not take tincture of water pepper for the entire period of pregnancy, with diseases of the gastrointestinal tract and hypertension. For everyone else, you can stop the blood by taking 30 drops, diluted in a glass of water. Repeat this need twice a day.

The net effect has nettle decoction, which is allowed for pregnant women.

If, despite haemostatics, the abundance of secretions has not decreased, an ambulance should be called as soon as possible. Until the doctors arrived, it is better for the patient to lie down, and to put ice or a heating pad (bottle) with cold water on the lower abdomen.

You can protect yourself from bloody secretions during sex, if they are of a serious nature, by simple actions. One of them is not to combine sexual intimacy and alcoholic beverages, since they dilate blood vessels. The second advice for a partner is to control your movements during sex so as not to damage the walls of the vagina and the cervix.

Blood does not always appear after intimacy and this is also cause for concern. Women may be disturbed by scarlet discharge in the middle of the cycle, which is caused by the same reasons as after sex. It is impossible to understand their nature independently and on the basis of symptoms, and it can even be dangerous. Always seek medical advice on time!

Allocation is normal

Inside the vagina and uterus are special glands that secrete mucous secretions. This process is ongoing. During sexual arousal, the intensity of the discharge increases significantly. This is due to the natural physiological processes - the female body thus prepares for the "adoption" of the partner, which provides him with the best possible sensations.

Discharges normally have an odorless, transparent or whitish color.

Функция смазки – это защита слизистой от механического повреждения, а также проникновения сторонней микрофлоры. Благодаря подобным выделениям, влагалище и матка надежно защищены от инфекционного поражения. Ideally, the color of such mucus is transparent, there is no smell. The consistency is not too thick, but not liquid. Sometimes it may become milky white, and the density increase. This is also a norm that should not be paid any heightened attention.

Another thing, when there is blood during intercourse. Normally, there should be no bloody impurities. Nevertheless, some natural factors that can provoke this phenomenon, still exist. They, as a rule, either occur once, or appear at intervals.

Bleeding after sexual intercourse - physiological causes

Selections that have a reddish or brown tint, can sometimes be triggered by natural processes occurring in the body of each woman.

Sometimes a woman herself (or with the direct participation of her partner) can cause bleeding during sexual intercourse or after it. For example, if a couple had too intense and violent sex. It provokes mechanical damage to the mucous membrane, as a result of which small cracks appear, from which blood is released, gradually mixing with the vaginal secretion. The solution to this problem is very simple - intimacy, of course, should be passionate, but in moderation. Be careful.

The same applies if you use different sex toys. All sorts of plastics, latex and other artificial materials only at first glance seem soft and safe. In fact, they are not intended to come into contact with the delicate vaginal mucosa. Very often, such products cause various injuries that can bleed.

Why there is blood after sexual intercourse - pathological causes

There are many such reasons. Bleeding during intercourse, as well as after it, may occur against the background of the following provoking factors:

  • mechanical damage to the mucosa - the problem was described above. The bleeding is minor and usually stops quickly by itself,
  • hormonal drugs - the reproductive system is tied to hormones, and therefore a change in hormonal levels will immediately affect its condition. There may be a characteristic pinkish discharge,
  • inflammatory processes - are caused by any infections or the appearance of tumors,
  • erosion is a serious pathology in which bleeding during sexual intercourse becomes ubiquitous. Requires serious and professional treatment.

The true cause must be established by a doctor.

It is clear that the above reasons include many factors. Let's try to consider the most important of them.

If during sexual intercourse blood has gone, it may indicate that a woman is sick with some kind of infectious disease, for example, a venereal disease. A concomitant symptom is almost always an unpleasant smell. Unfortunately, infections of the reproductive system are by far the most common cause of blood discharge during intimacy.

To solve this problem is only one way - to cure the underlying disease. To do this, you need to pre-diagnose it, after - prescribe an effective therapy. Modern medicine offers a lot of opportunities for the treatment of genital infections.

The patient needs to drink a course of medication.

As a rule, drug therapy is most often carried out, during which the patient is prescribed antiprotozoal, antifungal, antibacterial agents, as well as antibiotics.

Treatment should include the use of antiseptics.

Structural damage to the cervical mucosa triggers the emergence of a disease such as dysplasia. Contrary to popular belief, this disease is very dangerous. In the absence of adequate and timely treatment, erosion progresses and can theoretically be malignized, that is, degenerate into a cancerous tumor. The disease is treated for a long time, requires constant monitoring by the doctor. A complete recovery is possible only if the patient has strictly followed all the existing recommendations.

Cervical erosion

This is one of the most common reasons for bleeding during intercourse. Polyps are small tissue growths on the mucosal surface. It is known that they appear due to weakening of the immune system, stress, hormonal adjustment. The disease is characterized by persistent pain in the abdomen. The pain accompanies sexual intercourse, after which the appearance of slight reddish or pinkish discharge is normal.

Getting rid of polyps is much more difficult than it seems. There is no drug that could dissolve them or cause necrosis. If you do not want blood to flow during intercourse, the only solution is surgery. During surgery, the detected polyps are excised with an appropriate instrument.

Inflammation of the organs related to the reproductive system is caused by vaginitis or cervicitis. The first problem is inflammation of the vagina, the second is a disease of the cervix. The main precipitating factor is infection penetration. The vital activity of pathogenic microorganisms leads to the fact that the tissues become inflamed, which leads to the appearance of characteristic symptoms.

Inflammatory processes within the female reproductive system can cause bleeding.

Intimacy in the inflammatory process is strictly contraindicated. Otherwise, bleeding during sexual intercourse will appear regularly, and all this will be accompanied by painful sensations.

Vaginitis is mainly caused by such pathogens as trichomonas and staphylococcus. The inflammatory process may also occur against the background of a fungal infection, for example, a very common candida. This fungus migrates to the male organ. An important role in the development of this disease is played by chemical irritation of the vagina, which is important when using unsuitable personal hygiene products. Sometimes vaginitis is a consequence of an allergic reaction of the tissues to any other irritant. Treatment is getting rid of an allergen or complex antibacterial therapy. It all depends on what provoked vaginitis.

As for cervicitis, this is a more complex disease. It must be treated under the supervision of a physician. If this is not done, there may be serious consequences for the health of the woman, against the background of which bleeding during sexual intercourse will seem like a minor problem.

  1. Medication

With hormonal drugs, everything is clear. Special attention should be paid to the use of contraceptives, which have a very serious effect on the hormones. But a bloody discharge after sexual intercourse may appear while taking a different type of pharmacological preparations. For example, one of whose actions is the ability to thin the blood. Such means include all known aspirin or, as it is also called, acetylsalicylic acid.

Now you know the reasons why there is blood during sexual intercourse. This problem must be addressed, especially if it has nothing to do with physiological processes.

Pin
Send
Share
Send
Send