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Why do I bleed after sex?

Barbara J. Depree, MD
OBGYN (Obstetrics & Gynecology)

It is not normal to have bleeding after intercourse. It also doesn't mean there is any serious underlying condition present, but it does deserve attention and should be reviewed with your provider.

Some women will have very superficial, fragile cervical blood vessels that are traumatized by the action of intercourse. Having an STI (sexually transmitted infection) can cause significant irritation to the cervix, causing it to bleed with intercourse. Or a minor yeast infection can cause bleeding as well. A cervical polyp or tumor may be present.

Especially after menopause with the loss of estrogen there is more thinning, and a loss of elasticity of the vaginal tissues and penetration may cause bleeding. Not being adequately lubricated may cause bleeding as well.

Uterine cancer can cause bleeding after intercourse also.

A complete history assessing your risk factors and a careful physical exam with possible additional testing (such as cultures or biopsies) is necessary to better understand the cause of bleeding after sex.

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