Bleeding After Sexual Intercourse
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Reviewed By:

Ravi P. Chokshi, MD

Ravi P. Chokshi, MD (Obstetrics and Gynecology (OBGYN), Critical Care)

Current Maternal Fetal Medicine Fellow with Dual board certification in Obstetrics & Gynecology and Critical Care Medicine. | 5+ years experience managing a general Ob/Gyn practice and working in the Intensive Care Unit. | Previously Physician Lead of a large single specialty practice with 8 Physicians and 10+ Advanced practitioners. | Member of the Society of Maternal Fetal Medicine Patient education committee. | Frequent Medscape Consult contributor.

Seiji Kanazawa, MD, PHD

Seiji Kanazawa, MD, PHD (Obstetrics and Gynecology (OBGYN))

Dr. Kanazawa graduated from the Niigata University Faculty of Medicine and received his Ph.D. from the Tohoku University Graduate School of Medicine. He is working on the front line of the General Perinatal Center, including the Tokyo Tama General Medical Center and the National Center for Research in Fertility Medicine, where he provides maternal and fetal care and undertakes clinical research. At Ubie, Dr. Kanazawa has been designing the Ubie AI Symptom Checker and has taken on the role of general obstetrics and gynecology consultation at FMC Tokyo Clinic by providing fetal ultrasound and prenatal consultation.

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Content updated on Mar 7, 2024

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  • Bleeding during or after sexual intercourse

  • Bleeding during or after having sex

  • After sex, I found I was bleeding

  • I bleed during sex

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About the Symptom

Bleeding during or after sexual intercourse can be as little as spotting or light staining of discharge. In some cases it can be heavy like a period. This is also called postcoital bleeding and it is considered abnormal.

When to see a doctor

Seek professional care if you experience any of the following symptoms

  • Fever

  • Abdominal pain

  • Lower abdominal pain

  • Intermenstrual bleeding

Possible Causes

Generally, Bleeding after sexual intercourse can be related to:

  • Chlamydia infection

    A sexually transmitted infectious disease. It can cause abnormal vaginal or penile discharge and pain in the pubic area, but most infections have no symptoms. Chlamydia infection can also cause infertility and ectopic pregnancies and can be transmitted to the throat and rectum.

  • Trichomoniasis

    Infection of the vagina by a parasite called Trichomonas. The disease is sexually transmitted but often does not cause any symptoms in men.

  • Herpes simplex

    Painful blisters caused by herpes simplex virus infection. This can happen on the lips (cold sores) or groin (genital herpes). After the first infection, the virus stays dormant in the body. If the immune system weakens, such as from lack of sleep, the virus can reactivate.

  • Atrophic vaginitis
  • Cervical cancer
  • Cervical polyp
  • Gonorrhea
  • Cystitis

Related serious diseases

Sometimes, Bleeding after sexual intercourse may be related to these serious diseases:

  • Sexual trauma

    Genital trauma meaning injury to the genitals, can occur for a variety of reasons. Most often caused by sports injuries, accidents such as on a bicycle, or vigorous intercourse. Tears or injuries can also occur with childbirth. Sexual assault should also be considered.

  • Pelvic inflammatory disease

Doctor's Diagnostic Questions

Your doctor may ask these questions to check for this symptom:

  • Do you bleed during or after sex?

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Find Similar Symptoms

Symptoms from similar body parts

References

  • ACOG Patient FAQ - Abnormal Bleeding

    https://www.acog.org/womens-health/faqs/abnormal-uterine-bleeding

  • Management of Acute Abnormal Uterine Bleeding in Nonpregnant Reproductive-Aged Women

    https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2013/04/management-of-acute-abnormal-uterine-bleeding-in-nonpregnant-reproductive-aged-women

  • Postcoital Bleeding: A Review on Etiology, Diagnosis, and Management

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4086375/

  • Lindner LE, Geerling S, Nettum JA, Miller SL, Altman KH. Clinical characteristics of women with chlamydial cervicitis. Journal of Reproductive Medicine for the Obstetrician and Gynecologist. 1988;33(8):684–690.

    https://pubmed.ncbi.nlm.nih.gov/3050073/

  • Shapley M, Blagojevic-Bucknall M, Jordan K, Croft P. The epidemiology of self-reported intermenstrual and postcoital bleeding in the perimenopausal years. British Journal of Obstetrics and Gynaecology. 2013;120(11):1348–1355.

    https://pubmed.ncbi.nlm.nih.gov/23530690/

Reviewed By:

Ravi P. Chokshi, MD

Ravi P. Chokshi, MD (Obstetrics and Gynecology (OBGYN), Critical Care)

Current Maternal Fetal Medicine Fellow with Dual board certification in Obstetrics & Gynecology and Critical Care Medicine. | 5+ years experience managing a general Ob/Gyn practice and working in the Intensive Care Unit. | Previously Physician Lead of a large single specialty practice with 8 Physicians and 10+ Advanced practitioners. | Member of the Society of Maternal Fetal Medicine Patient education committee. | Frequent Medscape Consult contributor.

Seiji Kanazawa, MD, PHD

Seiji Kanazawa, MD, PHD (Obstetrics and Gynecology (OBGYN))

Dr. Kanazawa graduated from the Niigata University Faculty of Medicine and received his Ph.D. from the Tohoku University Graduate School of Medicine. He is working on the front line of the General Perinatal Center, including the Tokyo Tama General Medical Center and the National Center for Research in Fertility Medicine, where he provides maternal and fetal care and undertakes clinical research. At Ubie, Dr. Kanazawa has been designing the Ubie AI Symptom Checker and has taken on the role of general obstetrics and gynecology consultation at FMC Tokyo Clinic by providing fetal ultrasound and prenatal consultation.

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