Oct 07 2009

Bleeding after Sex or Masturbation

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Women are often worried about bleeding that occurs after sex or masturbation. If the rest of her cycle and sexual health is normal, this is seldom cause for concern.

Of course any very heavy bleeding or bleeding that does not stop should be looked at by a medical doctor.

There can be a number of reasons why a woman will bleed:

  • Her hymen got torn. Even if she is not a virgin any more, she can continue to widen the hymen for at least the first few sexual encounters.
  • She is about to start her period. The orgasm or intercourse forced the first few drops out. Remember that the uterus and cervix will contract during orgasm and this can force blood from the uterus outside.
  • Her period ended within the last few days and the contractions forced out some old left over blood from the uterus or her period started again.
  • The cervix got bumped hard and is bleeding a little in protest.
  • She got scratched from a sex toy, frictioned from dry intercourse (not enough lubrication) or scratched by nails or a ring from a finger.

If none of these are possible, it is most likely caused by an infection, an STD/STI or some growth in the cervix or uterus:

  • Cervical Dysplasia (Risk increases with multiple sexual partners, sex before age 18, childbirth before age 16, or a past history of STDs)
  • Chlamydia (A bacterial infection)
  • Gonorrhea (A sexually transmitted disease)
  • Vaginitis or Cervicitis (Inflammation or swelling and infection of the vagina or cervix)
  • Cervical Polyps
  • Trichomoniasis (A sexually transmitted disease)
  • Vaginal Yeast Infection (Common symptoms include itching, burning, and an odorless, white, cheese-like discharge)
  • Endometritis or Adenomyosis (Inflammation of the endometrium (the innermost layer of the uterus)
  • Uterine Polyps (Women with uterine polyps frequently experience bleeding between periods (metrorrhagia), other symptoms includes vaginal bleeding after sex, spotting, menorrhagia)
  • Fibroid Tumors (Usually benign)

If you suffer from regular bleeding or heavy bleeding after sex and it is not your normal menstrual flow, you should seek medical help.

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