Why am I experiencing heavy bleeding during intercourse?

Question

Hello doctor,

I am 25 years old. I am bleeding while being intimate with my partner. The first time was just spotting, but yesterday it was heavy bleeding. It stopped immediately after and did not continue. There was no pain. I am worried.

Kindly advise.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Bleeding during or after intercourse is called postcoital bleeding. Since this has happened to you twice and there is no pain, the most likely causes are cervical irritation or minor trauma, the cervix is delicate and can bleed with friction, vaginal dryness, which can cause minor bleeding, and polyps or benign growths on the cervix or vagina.

Less common but important causes to rule out include infection (such as cervicitis, yeast infection, or bacterial infection), precancerous or cancerous changes on the cervix (rare at 25 years of age, but screening is recommended), and hormonal imbalance.

I would suggest the following measures:

• Schedule a gynecological examination.

• A Pap smear or cervical inspection may be advised.

• Avoid sexual intercourse until evaluated if bleeding recurs.

• Note if bleeding is associated with pain, discharge, or foul smell.

Because the bleeding stopped immediately and is not associated with pain, it is most likely minor cervical or vaginal trauma, but evaluation is important to rule out infection or cervical lesions.

Consult a doctor in person if you notice:

• Persistent or heavy bleeding.

• Pain.

• Unusual discharge.

• Bleeding unrelated to sexual intercourse.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.