I Bleed When I Have Sex: Is it Serious?

Bleeding during or after sex affects about 9% of women during their menstruating years. In most cases, it’s nothing to worry about if there’s no discomfort or pain associated with the bleeding. 

Sometimes, though, bleeding can be a symptom of something requiring treatment, and in rare cases, it may be a serious condition. 

Any time you’re concerned about blood associated with intercourse and other intimate activities, you can count on our team at Southeast Urogyn in Flowood and Madison, Mississippi, for discrete and sensitive medical care. 

There’s an answer for vaginal bleeding and we’ll help you find it. 

Possible causes for vaginal bleeding with sex

The list of reasons for bleeding during or after sex is extensive. It might be as simple as dryness or friction, or it could be a more major issue such as cervical polyps. Some of the more common issues that might lead to bleeding include: 

• Dryness resulting from too little foreplay or too little natural lubrication with arousal
• Dryness occurring for other reasons, including vaginal atrophy from menopause
• Injury to the lining of the uterus (more common if you use oral contraceptives)
• Spotting on the days before or after menstrual bleeding
• Vaginitis, an inflammation of the vagina due to yeast infections, bacteria, or parasites
• Pelvic inflammatory disease, an infection of the fallopian tubes, ovaries, or uterus
• Cervicitis, inflammation of the cervix
• Sexually transmitted diseases (STDs), including symptoms and complications
• Genital sores from STDs
• Cervical, vaginal, or uterine cancer

Anything that leads to vaginal dryness has the potential to cause bleeding associated with sex. This can include hormonal issues, medications, or seemingly unrelated medical conditions. 

Frequency of bleeding

When you experience bleeding frequently, your level of concern may be higher. Look for patterns to identify potential causes. For example, do you notice the bleeding after more vigorous love-making sessions, or does bleeding seem to occur during certain times of the month?

Bleeding might also occur if you have changed soaps or personal hygiene routines. 

If you only notice bleeding or spotting occasionally and without pain, there’s likely no cause for concern. Similarly, if you’re within a few days of menstrual bleeding, it’s probably related to your cycle. 

The presence of other symptoms

When sex-related bleeding occurs and you have other symptoms, such as itching, discharge, or odors, there’s a greater chance that bleeding is due to an infection or other condition. This is a good time to check in with us at Southeast Urogyn. 

Book your consultation by calling our most convenient office. You’ll enjoy peace of mind knowing that our women’s care professionals have given you an all-clear. Schedule your appointment today.