Blood discharge after intercourse. Bloody discharge after sex - causes

Blood after intercourse (PA) can appear due to a variety of factors. In any case, such a symptom should puzzle the woman. It is best to consult a doctor about such bleeding.

Causes

There are both natural and pathological reasons why women experience brown or bloody discharge from the vagina during or after intimacy.

Natural factors that are not caused by the disease include the following:

1. Virginity.
2. Menstruation.
3. Ovulation.

However, there are a number of deviations in the work of the body, due to which blood flows after PA. The diseases that can cause such a phenomenon include quite serious ailments. They require a full examination and diagnosis based on it by a gynecologist. These include:

1. Infectious diseases.
2. Atypical tissue growth.
3. Cervical erosion.
4. Oncological neoplasms.
5. pathology of pregnancy.

Bloody discharge after sex sometimes appears due to spontaneous abortion or internal bleeding. These conditions require immediate hospitalization.

Self-diagnosis is strictly prohibited. Therefore, if light brown, bloody discharge from the vagina appears during sexual intercourse, it is urgent to consult a specialist.

Each representative of the fair sex should know in detail about the provoking factors of such an unpleasant situation.

natural factors

Many completely natural phenomena in the body of women can cause red or light brown ointments from the vagina during PA. They are not caused by a disease, and you should not worry about them.

Virginity

When a girl has sex for the first time, the rupture of the hymen causes some bleeding. This is known to everyone. But if the bleeding is too long, you should go to the hospital. Perhaps there is a problem with its coagulability - this is a very serious pathology.

It happens that even after intercourse for the second or third time there is also a slight bleeding. So, intimacy was active. The vagina of a virgin is narrow, the mucosa is easily damaged. The first time you need to make love carefully.

Also, some women have individual characteristics of the hymen. Because of this, she is not completely torn during the first intimacy. This is quite normal and should not cause concern.

Menstruation

Bloody discharge after intercourse sometimes accompanies the onset of menstruation. Intimacy sometimes brings menstruation closer. It would be better to make sure that this is not a pathology.

Proximity can have such an impact only when it coincides with the day of the expected regular bleeding or occurred the day before. In this case, brown discharge develops into the usual monthly bleeding. Their color, quantity should be normal.

But if such a phenomenon occurred a week before the expected date of the onset of menstruation, then this is not menstruation or pathology caused them. In this case, avoiding an examination by a gynecologist will not work.

If the menstruation went earlier, a hormonal failure probably occurred or a disease develops in the body. The success of the treatment of the disease depends on the speed of response to such manifestations.

Ovulation

Light brown, mild vaginal discharge in the second phase of the cycle sometimes indicates that ovulation has occurred. During the release of the egg from the follicle, some women experience such a phenomenon.

This indicates the approach of a favorable period for the onset of pregnancy. However, the discharge after intercourse caused by this factor is observed exactly 2 weeks before the expected menstruation.

When pregnancy occurs, brown, spotting may indicate the successful introduction of the fetal egg into the uterine wall. Such light bleeding is observed on the 7-13th day after ovulation.

This state can only be assumed. Only an experienced doctor can determine exactly why a small brown or reddish discharge began during lovemaking. For some women, the causes of this phenomenon are quite serious.

Diseases

Many diseases can provoke brown or bloody discharge after PA. In order to defeat the main ailment as soon as such manifestations began, you should visit a doctor.

infections

Sexually transmitted infections can cause some bleeding during or after intercourse. The main ones include:

• Trichomoniasis.
• Chlamydia.
• Ureplasmosis.
• Mycoplasmosis.

These are the most common infections that present with a variety of symptoms. Ignoring them leads to the absence of pregnancy in the future, provokes many serious deviations in the reproductive system.

If the infection has developed into a chronic form, its manifestation may be dim. Bleeding or brown ointments are sometimes their only manifestation.

Atypical tissue growth

Discharge after intercourse can be triggered by changes at the cellular level. The main pathologies of this type include:

• Endometriosis.
• Hyperplasia.

In the first case, the symptoms are very diverse. Endometrial tissue grows, settling in uncharacteristic places for it. During sex, pain and slight bleeding are observed. Moreover, this situation occurs after each proximity.

Hyperplasia is characterized by active cell division. Subsequently, this can lead to the development of oncology. Infrequently, but it happens that this disease is manifested by bleeding. This occurs already at a rather late stage in the development of hyperplasia.

Cervical erosion

Rough movements of a partner during sex can disrupt the mucous membrane in the vagina, leading to microtrauma. In some women, even this provokes the appearance of erosion.

The causes of this disease are various, often associated with hormonal imbalance. The very presence of erosion can lead to the appearance of small bloody ointments in women after sex.

This disease must be treated, otherwise it will develop into more serious ailments.

Oncology

Benign or malignant neoplasms sometimes provoke bleeding, light brown discharge in women during PA. These include:

• Myoma.
• cysts.
• Polyps.
• Cancer neoplasms.

Such pathologies can be in the uterus, on the neck, tubes, ovaries. These are pretty dangerous conditions. Their detection in the early stages of development guarantees the success of treatment.

Pathology of pregnancy

Bleeding after sex can be a sign of early pregnancy. If a woman had unprotected sexual intercourse, this reason should not be rejected.

When there is blood or small spotting, this is not normal during pregnancy. It can occur at any time and is always considered an alarming sign. Cause such a manifestation during pregnancy can:

1. Lack of progesterone. This threatens to terminate the pregnancy.
2. Detachment of the fetal egg.
3. ectopic implantation.

Each of these situations requires urgent hospitalization. By seeking help in a timely manner, serious consequences can be prevented.

internal bleeding

If after intimacy there is pain in the lower abdomen, lower back, or heavy bleeding, you must urgently go to the hospital - this pathology is life-threatening. It can be caused by rupture of the ovary, fallopian tube, abdominal trauma. The symptoms of this phenomenon are as follows:

1. Cramping, aching pain in the lower abdomen, in the lower back.
2. Paleness, weakness.
3. Tachycardia.
4. Dizziness.
5. Pressure drop.

If this condition appeared after sex, you should immediately call an ambulance. Paying attention to the signals of your body, taking care of your health and regularly visiting a gynecologist, you can avoid many problems in the future.

The surface of the female genital organs is permeated with a huge number of vessels that can bleed under various influences, incl. during sexual intercourse. Bleeding that occurs after intercourse is called postcoital. The amount of blood released varies from a weak "daub" to copious discharge. The causes of this condition can be completely different - from harmless to dangerous.

Mechanical causes - be careful

Mechanical, they call the causes associated with any injuries. Most often, blood after sexual intercourse causes the following conditions:

• Increased vascular fragility that occurs in women suffering from vitamin deficiency, diabetes mellitus and hormonal disorders . This condition is especially common in when hormonal changes occur. In people with increased capillary fragility, lesions of the vessels of the gums, nose, rectum, and skin are not uncommon.
• atrophic vaginitis.Decreased estrogen levels cause the walls of the vagina to thin, making them more vulnerable and bleeding.
• lack of lubrication, which facilitates the sliding of the penis inside the vagina. The mucous membrane of the genital organs, to which a lot of blood flows during coitus, rubs and bleeds;
• Hard sex, especially with the use of various sex toys. Such an act causes trauma to the smallest vessels of the vagina and cervix, accompanied by bleeding.

The injuries heal and the bleeding stops, but the next injury will again bring trouble.

Organic causes: when blood after intercourse is a sign of a dangerous condition

In this case, bleeding is caused by problems associated with pathologies of the female genital organs:

• Varicose veins of the vagina. This disease occurs with a general predisposition to varicose veins. Bleeding from dilated vessels can be profuse.
• - benign, but fragile tumors of the cervical canal, often causing a bloody "daub".
• Genital hemangiomas- tumors consisting of vascular tissue and containing blood.
• - a disease in which cells that should normally be in the uterine cavity are outside it. In response to changes in the hormonal background before menstruation, endometriosis foci swell and bleed.
• Ectropion- eversion of the tissues of the cervix, in which the upper epithelial layers are outside. Most often, this condition occurs after traumatic childbirth or manipulation. The tissue, which normally should not be in the acidic environment of the vagina, becomes inflamed and bleeds. Another symptom of the disease is profuse yellowish vaginal discharge.
• - a defect in its tissues, bleeding easily during sexual contact.
• - This benign neoplasm should not be ignored.

Inflammatory and infectious processes

At its tissue becomes edematous and reddened due to the blood rushing to the vessels. The mucous membrane is especially strongly irritated from caustic secretions formed during STDs ( , ). Foci of eroded mucosa bleed easily during intercourse.

Cause, in addition to bleeding, unpleasantly smelling . accompanied by itching, burning, frequent and painful urination. Sexually transmitted infections cause cracks to appear on the mucous membrane of the vestibule of the vagina, which can also bleed during intimacy.

Another cause of bloody daub - causing inflammation and erosion of the vaginal mucosa. This disease is characterized by curdled discharge with a sour-milk odor, itching and burning in the genitals.

Malignant tumors: immediately to the oncologist!

This is another large group of diseases that are manifested by bloody "daubs" or bleeding after sexual intercourse. The most common complaint with which women , is precisely the release of blood after intercourse. Subsequently, a bloody "daub" appears when lifting weights and physical exertion. Launched Forms accompanied by profuse bleeding.

Blood after sexual intercourse is also manifested in cancer of the body of the uterus. A woman has a discharge that resembles meat slops with an unpleasant putrefactive odor.

Rupture of an ovarian cyst is a dangerous condition

This is another dangerous cause of bleeding after intercourse. Cysts may go unnoticed for a long time and cause no problems. But after active sexual intercourse, they burst with the release of a large volume of blood. They may also burst .

The situation requires immediate medical attention. Otherwise, a woman may die from profuse blood loss or peritonitis, accompanied by general intoxication of the body.

What to do if there is blood after intercourse

It is difficult for a woman herself to determine what caused the bleeding. Therefore, when a large amount of blood is released after coitus or a repeated “daub”, you need to contact a gynecologist, be examined for STIs -, and pass .

Where to go if there is blood after sex in St. Petersburg

In St. Petersburg, such conditions are treated in a specialized clinic Diana. Here you can inexpensively take all the tests, find out what caused the bleeding after an intimate relationship, and undergo treatment. Gynecologists, urologists, endocrinologists, oncologists and dermatologists take Diana, so such a dangerous symptom will not go unnoticed.

The cost of treatment of any gynecological and other pathologies is available to any woman. So the appointment of any doctor will cost 1000 rubles, ultrasound on the latest expert apparatus - 1000 rubles. Taking swabs for infections - 350 rubles.

Bloody discharge from the genitals after sex

Bloody discharge after sexual intercourse occurs for several reasons. As a rule, postcoital bleeding is one-time, does not threaten health and is not a cause for concern. If you have small spotting after sex, they are regular, or do not go away for a long enough time, you need to contact a gynecologist to find out the reason for such a reaction of the body. The following is about why blood appears after sex, as well as possible methods of treating diseases that provoke this phenomenon.

When to sound the alarm

Gynecologists name several reasons for the cases in which blood is released after intercourse in a woman. Here are the most common ones.

1. Mechanical damage: injuries that often occur during excessively active sexual intercourse, or too large a partner's penis. So, a woman may experience damage or rupture of the walls, as well as the arch of the vagina, trauma to the uterus. In cases where bleeding is accompanied by acute pain, profusely, does not go away for a long time, you should immediately undergo an examination by a gynecologist.

2. Sexually transmitted diseases. Including chlamydia, which provokes cervicitis - a pathology of the cervix. Bloody discharge from the genitals after sex indicates inflammatory processes. Pathogenic microorganisms destroy the mucous membrane, it becomes easily vulnerable.

3. Polyp of the cervical canal or cysts. They are benign neoplasms, however, even when they are removed, a histological examination is mandatory.

4. Cancer of the cervix. It can also cause bleeding when straining. But no longer have symptoms early in the disease. With this possible cause of discharge in mind, every woman should be examined as soon as possible. And do not forget to visit the gynecologist at least once a year in the future, because the disease is often asymptomatic. And when they find out about it, it's already too late... The treatment does not give lasting results, it is not so effective.

Immediate medical attention is required if spotting or bloody discharge is accompanied by pain in the abdomen, back, perineum or lower back after intercourse. This may indicate the presence of serious damage and even rupture of the ovaries, cysts, be a sign of an ectopic pregnancy or the termination of a normal pregnancy.

Treatment Methods

Since the causes of such discharges are different, the methods of their treatment also differ from each other. So, with mechanical damage to the walls of the vagina or cervix, the doctor stitches the gap, or cuts it with special drugs that stop bleeding. In the case of such a diagnosis, the patient is recommended to have sexual abstinence until the stitches are removed and the wound is completely healed.

Chlamydia and other sexually transmitted diseases are treated with antibiotics, which should be selected by a doctor. Modern means of diagnostics and therapy allow you to get rid of the disease in less than a month. Please note that both partners who have been diagnosed with the infection must take the medication.

Treatment of cervicitis and vaginitis begins with an examination by a gynecologist and taking a large number of tests, including those for sexual infections, HIV, and the vaginal microflora. Therapy provides for outpatient treatment; in simple and moderate cases, it is enough to carry out radio wave exposure using a special apparatus.

When diagnosing cervical ectopia, in case of its large area, the doctor may prescribe cauterization; polyps, which can also cause bleeding after sex, are removed. This simple operation is performed on an outpatient basis. The patient is usually discharged on the same day.

At even the slightest suspicion of an oncological disease, a piece of tissue is taken from a woman for analysis from the affected surface or it is completely removed - in this case, this is not only a diagnostic, but also a therapeutic measure. Further treatment depends on the results of histological examination.

Once again, it is worth mentioning that with regular or painful bleeding after sex, you should consult a gynecologist to determine their cause. Remember: the earlier you come to see a doctor, the easier it will be to treat a particular disease.

A unique opportunity to show your feelings for a loved one is an intimate relationship. This greatest gift to people is still an unsolved mystery. Sensual impulses, tenderness and love are expressed in the euphoria received from sex. All this is achieved thanks to the miraculously created body of a woman and a man.

Unfortunately, the pleasure of intimacy can be overshadowed by an unexpected phenomenon on bedding. Bloody discharge after sex is an alarming signal that women have questions. Most often they indicate physiological problems in the reproductive organs.

Natural discharge after unprotected intercourse is a common physiological phenomenon. They appear as a result of a rush of blood to the genitals during a strong excitement. If a seed enters the vagina, a whitish or transparent secret appears. It includes selections from both sides.

If after intimacy a white secret is found with a specific sour smell, like porridge or cottage cheese, then this is thrush. Grayish discharge indicates gardnerellosis. Chlamydia is accompanied by foamy greenish mucus. But if, after intercourse, blood discharge is observed, this is a clear signal of abnormal processes in the female body.

Attention!

The appearance of blood after an intimate relationship is an important signal of possible health problems in a woman.

Natural discharge after sex also includes red or brown ointments. They are caused by such processes in the female body as:

• ovulation;
• menstruation;
• virginity.

With the onset of the second phase of the monthly rhythm, ovulation occurs in the reproductive female organs. This period is considered the most favorable for fertilization. About two weeks before the onset of menstruation, spotting occurs in the middle of the cycle, even if copulation has occurred. They indicate that ovulation was successful. Also, such a secret may indicate that the conceived cell is already fixed in the uterus.

Sometimes, spotting that appears after intercourse indicates the onset of menstruation. Only if the expected date matches.

After the first sexual intercourse, the hymen ruptures, which is accompanied by blood mucus. In some cases, the secret of scarlet color may appear after the second time of the act of sexual intimacy. In this case, the cause is damage to the vaginal mucosa during active sex.

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Important information for young ladies.

If after the first intimacy, the blood does not stop for a long time, you should consult a doctor. Timely help from a specialist can even save you from premature death..

Sometimes, incessant bleeding after the first intimacy suggests that the woman has poor blood clotting.

Serious causes of bloody mucus after sex

Bloody discharge after intercourse is almost always dangerous for women's health. In view of this fact, it is important to understand how to act in unexpected and unforeseen situations. After all, blood is not water, but a liquid on which life depends. Any delay can lead to irreparable death.

The most common causes of bleeding after intimacy can be noted as follows:

• damage to the vaginal mucosa;
• internal inflammatory processes;
• serious diseases of the reproductive organs;
• use of contraceptives;
• venereal infections.

Many absolutely healthy women, having noticed an unexpected secret in themselves, think about why there is blood after sex. The answer, in fact, is simple - mechanical damage to the vaginal mucosa. With active copulation, small cracks or wounds appear that exude blood in a small amount. Over time, they disappear without causing any pathologies.

Note to married women.

If acute pain occurs, accompanied by bleeding, during intimacy or after orgasm, you should immediately contact a gynecologist. The symptom may indicate serious damage to the vault or vaginal walls..

Serious internal inflammatory processes often cause blood in women after intercourse, which darkens the joy of relationships. As a result of infection or the formation of benign tumors, an alarm appears in the vagina. Especially it is possible to allocate such diseases as:

• vaginitis (internal inflammation of the vaginal walls);
• cervicitis (inflammatory processes on the uterine neck).

Although such diseases cause blood secretion without sex, it is aggravated by sexual intercourse.

Inflammatory processes usually begin when a woman has staphylococcus and Trichomonas in her body. Careful monitoring of your secretions will help prevent trouble. Only in this case sex will bring pleasure.

Blood during intercourse is strong evidence of serious diseases of the reproductive organs. The most common source of blood mucus is polyps (benign growths on the reproductive organs). They appear as a result of constant stress or hormonal changes. The disease is accompanied by pain in the lower abdomen and bloody discharge during active sex. Polyps can be removed by surgery.

Another provocateur of bleeding during sex is cervical erosion. The disease needs treatment, so measures should be taken in time.

Healthy cervix and damaged by erosion

The use of contraceptives in a chaotic manner leads to scarlet discharge during intercourse. In addition, various medicinal substances can also provoke disorders in a woman's body. This is especially evident in blood clotting, which is the cause of bleeding.

A number of sexually transmitted diseases can provoke blood secretion after copulation. Among them, ailments such as gonorrhea, chlamydia or trichomoniasis most often affect the genitals. Microorganisms contribute to the infection of the vaginal wall, uterine cervix, or even the inside of the uterus. Thus, after sexual intercourse, scarlet discharge occurs.

Guide to action

Of course, no one wants to overshadow the sweet manifestations of love with health troubles. Fortunately, most spotting is easily treated. The main thing is not to postpone the visit to the doctor.

In the event of bleeding immediately after intercourse, an ambulance may be needed by doctors. It is especially dangerous if a woman feels a sharp pain, similar to prenatal contractions. Such symptoms indicate internal hemorrhages for the following reasons:

• abnormal ectopic pregnancy;
• violation of the integrity of the ovary;
• spontaneous miscarriage.

If at the same time, a woman feels unwell, experiencing dizziness, weakness, rapid heartbeat and a sharp drop in pressure, then this is a harbinger of serious trouble. The main thing is not to waste precious time and act. The loss of a large amount of blood leads to death. So let every woman appreciate her life and the peace of her family.

Blood after intercourse is a special type of uterine bleeding (UB) that occurs immediately after intercourse or a short time after it. They occur in 0.7-9% of women aged 20 to 40 years. Discharge is considered a pathology, which does not depend on the monthly cycle and menstruation. If postcoital bleeding is one-time, there are no other unpleasant symptoms, then there is no need to worry. But if the discharge of blood is regular, then a visit to the doctor is mandatory.

A similar phenomenon in 30% is associated with inflammation of the genitals, in 40% - a normal colposcopic picture is detected, in 17% - with dysplastic processes in the uterus, 5% - polyps, 0.6% - cervical cancer. The volume of secretions can vary from smear marks to a noticeable amount.

The causes are divided into physiological and pathological. Among the first (natural) are:

• virginity;
• menstruation;
• ovulation.

Pathological causes:

• infectious diseases;
• atypical tissue growth;
• cervical erosion;
• oncological neoplasms;
• pregnancy pathology.

natural factors

Virginity. It is well known that during the first sexual intercourse, the hymen ruptures (defloration), this is accompanied by a slight bleeding. But if after intercourse it does not stop, perhaps there is a violation of blood clotting, then the help of a doctor is necessary. It also happens that after intercourse 2 and 3 times blood flows again, which means that there is too active intercourse. In some women, the hymen can be very stretched, but not torn at the first contact, then blood can be observed during the second act.

Menstruation. Sometimes intimacy accelerates the approach of menstruation. This usually happens the day before their onset. Bloody discharge in this case, the beginning is brown, then becomes normal.

Ovulation. Drops of blood during intercourse and after sex in the middle of the cycle can indicate the onset of ovulation - the release of the egg from the follicle. At the same time, they are not abundant, pink in color. On the 7th-13th day after ovulation, there is also slight bleeding during sexual intercourse. In such cases, it is associated with the introduction of the zygote into the uterine wall and the onset of pregnancy.

Physiology includes the following conditions:

• insufficient arousal of a woman during sex and lack of lubrication of the vagina;
• age-related dryness of the vagina as a result of estrogen deficiency in menopause;
• too active frictions during intercourse;
• use of tampons.

Active masturbation can irritate the vaginal lining and can also cause bleeding during sex. The mucous membrane in these cases heals quickly without treatment. Bloody discharge the next day after sex speaks of the remnants of menstrual blood - normally, the secreted remnants disappear after a few hours.

Mechanical damage to the mucosa can occur during the installation or removal of the intrauterine device, after abortion, during curettage - then there are pink discharge. In all these cases, no treatment is required.

Pathological manifestations

Infections. This, of course, is an STD (chlamydia, trichomoniasis, ureaplasmosis, mycoplasmosis). Bleeding in this case looks like a small brown daub, but treatment is required. Itching and burning are noted. It also happens that spotting after intercourse may be their only symptom.

Atypical tissue growth. This refers to hypo- or hyperplasia of the endometrium, endometriosis. With hyperplasia, the tissue grows, bleeding and soreness appear after intimacy. This does not mean that this symptom is its first sign, but it should cause alertness. Its danger is that hyperplastic tissue can be reborn. Endometriosis is a hormone-dependent growth of the endometrium in other organs. May occur without symptoms, but can be marked by bleeding in the middle of the monthly cycle.

Erosion is a defect in the epithelium of the cervical mucosa in every second woman. It is asymptomatic and is a benign process. It can change and be reborn. And blood after sex or outside of it is presented as pink discharge, which should alert.

Polyps are mushroom-shaped growths on a stalk in the uterine cavity or cervix. Blood appears when a member of a partner penetrates, which can “disturb” the neoplasm.

Tumors. Regardless of their good quality, these changes may be accompanied by bleeding in the form of light brown discharge. Among them are fibroids, cysts, polyps and cancer. Formations can occur on any part of the genitals.

Cancer and metastases of the cervix at an early stage may not manifest themselves in any other way. Therefore, regular examinations by a gynecologist are necessary.

Naboth cysts - often appear on the cervix, there may be several. When examined, they can be seen on ultrasound. Their etiology is often infectious. They don't regenerate. They tend to grow, suppurate and bleed.

Inflammatory diseases - with them, blood discharge can appear both during sex and at rest. These negative processes include: vaginitis, cervicitis, colpitis. Among the symptoms, one can note pulling pains in the lower abdomen, in the lower back, dyspareunia, cloudy discharge from the vagina. In etiology, a fungal infection, non-compliance with hygiene, bacteria, a violation of microflora are determined.

Acceptance of OK - these drugs greatly thin the uterine mucosa, that is, initiate its hypoplasia, pink discharge after sex can become a sign of violations. The intake of these drugs should be carried out according to the scheme, at the same time, no more than 21 days.

Bleeding may be due to long-term use of antibiotics, the appointment of hormonal replacement drugs. The cause of blood after intercourse can also be the thoughtless use of toys from a sex shop. If the surface of the dildo is rough, uneven, irritation and trauma to the genital mucosa cannot be avoided.

Blood after sex can coincide with an anus fissure with hemorrhoids, with anal contact. In this case, the source will not be associated with the genitals. It is exceptionally rare that blood in the partner's semen can be mistaken for own bleeding. This can occur with inflammation of his urinary tract.

Associated symptoms

Approximately 30% of women with postcoital bleeding have abnormal CM, and 15% have dyspareunia. With STI infections, manifestations of itching and burning are constant, blood can be released with pus and mucus, ulcers, vesicles, and reddened areas can be detected on the genitals. There is painful urination, discomfort during intercourse. Beli can be white, green, yellow, with or without a smell. Symptoms can often be blurred, even more often marked carriage.

The following pathologies can serve as the cause of the appearance of blood:

1. Cervicitis - its clinic is often erased, if left untreated, the disease becomes chronic. There is painful "bloody" sex, mucous leucorrhea. The opening of the vagina is reddened and swollen.
2. Vaginitis - contact bleeding is not very pronounced, but painful. There is itching, irritation, a feeling of fullness from the inside. Urination frequent, painful. Both inflammations are treated quickly, with antibiotics or cauterization.
3. Endometriosis - blood can go on any day of the MC. The appearance of discharge in the intermenstrual period is characteristic. There may be pain during intercourse and in the vagina during menstruation. Constipation, frequent urination, hematuria are observed.
4. Atrophic colpitis - develops during menopause. The level of estrogen decreases, there is a pronounced dryness and burning of the mucosa, pain during sexual intercourse, itching, leucorrhoea. The development is gradual. Due to the reduction of lactobacilli, pathogenic microflora is activated.
5. Prolapse of the pelvic organs - occurs with weakness of the ligamentous-fascial apparatus. There are no symptoms in the early stages. The first sign is the absence of an orgasm. Then there are pulling pains in the vagina. Urinary incontinence and increased frequency of micturition are noted, the cervix and vagina swell, and postcoital bleeding occurs. Sexual abuse, a foreign body in the vagina also always cause bleeding.

When is urgent help needed?

The reason for the provision of urgent measures may be internal bleeding. There may be no outward manifestations. The main symptom is sharp pains in the lower back, perineum, lower abdomen in the form of contractions. If blood has gone after sex, these pains are noted, there is pallor of the skin of the face, nausea and weakness, vomiting, profuse sweating, tachycardia and arrhythmia, blood pressure may decrease to collaptoid, an ambulance should be urgently called.

Thus, blood during intercourse in combination with the above conditions is more often observed in 4 cases - this is a rupture of an ovarian cyst or the organ itself, a miscarriage that has begun, an ectopic pregnancy. Urgently consult a doctor should be in case of violations of the MC in any direction.

Pregnancy and sex

When pregnancy occurs, its combination with coitus can cause pink discharge and spotting during sex and after. This is not the norm in any case, and a visit to the doctor is mandatory. Some gynecologists do not welcome sex during pregnancy in general, fearing a miscarriage.

If a pregnant woman has placenta previa, severe bleeding may also begin after intercourse. Premature abruption of the placenta during intercourse can harm the fetus.

After intercourse during pregnancy, a woman is advised to relax and lie down for half an hour so that uterine contractions do not resume. Bleeding after intercourse may well appear with too early sex after childbirth - this means stopping intercourse for another 1-2 weeks.

Sex during pregnancy can be characterized by postcoital bleeding during detachment of the fetal egg. Discharge during intercourse and blood can go if there are:

• detachment of the fetal egg;
• rupture of the tube during ectopic pregnancy;
• frozen pregnancy;
• low progesterone levels.

All of these situations are a reason for an emergency call to the doctor. You should not try to stay at home, hoping for a chance, and engage in amateur activities to stop the bleeding. This is fraught only with the loss of the necessary time and complications.

Diagnostic measures

To identify the causes of bleeding, the following types of studies may be required:

• gynecological examination, questioning;
• general analyzes of feces and urine;
• blood for biochemical studies: determination of protein, fibrinogen, bilirubin, residual nitrogen, urea, if oncology is suspected - determination of creatinine, indicators of liver enzymes - ALT and AST;
• in addition, it is necessary to determine the hormones T4, TSH, hCG;
• a smear is taken from the vagina for microscopy, sowing the contents of the vagina to determine the pathogen and determine sensitivity to antibiotics;
• in case of suspected STI - conducting a PCR study;
• a smear is taken from the vagina, a biopsy of the cervix and uterus is performed for cytology;
• Ultrasound of the uterus and appendages, ECG.

Principles of treatment

Treatment is always aimed at eliminating the cause of the bleeding, not stopping it. Only at the risk of large blood loss, hemostatic hemostatics are used. Treatment is determined by the cause. If there is mechanical damage to the walls of the vagina, sutures are applied to the gaps.

If bleeding after intercourse occurred with an STI, antibiotic therapy is necessary, and both partners are treated. With erosions and polyps, cauterization or removal is done. With hypoplasia, hormonal preparations are corrected, with hyperplasia, each patient has an individual approach. Possible curettage of the uterus. In the treatment of atrophic processes, topical application of agents containing estrogens (Ovestin) is used.