What could cause bleeding after frequent and intense sexual activity?

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

After rigorous sex, there are high chances of vaginal tears leading to bleeding, and the same issue may cause a burning sensation during urination. I would advise you to consult with your gynecologist as soon as possible because we also need to rule out sexually transmitted diseases like chlamydia or pelvic inflammatory disease.

I suggest you take the tablet Tranexamic acid 500 thrice daily for bleeding after consultation with your gynecologist. Also, the recurrence of UTI (urinary tract infection) needs to be ruled out by urine examination.

I hope this helps.

Thanks and take care.

Hello,

Welcome back to icliniq.com

I have seen your prescription, it is for your HSV (herpes simplex virus) and ointment for vaginal pain. Yes, the bleeding seems to be from a vaginal mucosa tear, which would heal itself with time but if you are still bleeding, then I would advise you to take a tablet of Tranexamic Acid for a couple of days to stop the bleeding.

Thank you.

Hello,

Welcome back to icliniq.com.

The anti-viral drug that you are taking may suppress the lesions but the pain may still be there, for this, you can take over-the-counter painkillers like Ibuprofen or Naproxen for a few days to relieve the pain. You can take the medications after consulting a specialist doctor.

Yes, oral HSV can be transmitted to genital areas and vice versa. The chance of oral to genital is less but it is still possible. Future outbreaks are possible and can be triggered by sunlight, injury, fever, or stress. For minor recurrence, drug treatment is not recommended only painkillers or local anesthetics can be taken. If the recurrence is very severe in terms of pain and or disfiguring lesion, then a chronic anti-viral drug needs to be taken. Recurrences generally have a trigger, you have to identify that trigger like sunlight so that you can use sunscreen to prevent that. Definitely, you need to tell your future partners about this, because in case of active lesions, transmission risk is high and this can be prevented by using condoms, during oral sex also. The use of drug therapy for preventing HSV 2 transmission is well studied but not many studies for HSV 1.

Thank you.