Vaginal bleeding during sex is not normal, although it doesn’t always mean something is terribly wrong with you. Rough sex may absolutely be a cause, as our vaginal tissue is sensitive and can tear easily. It’s one of the many, many reasons we so highly recommend using organic cotton tampons instead of ones packed with chemicals and fragrances.But while injuries to the vaginal wall or introitus during intercourse can happen and aren’t really much to be alarmed over (although if it’s happening frequently, you should absolutely consult your gyno), the following possibilities certainly are.
On the cervix, a benign condition called cervical ectropion can sometimes occur. In cervical ectropion, the cells that normally line the inside of the cervix protrude outwards around the opening of the cervix (called the external os). Due to the exposure of these cells to the vaginal portion of the cervix, the external os can become red and inflamed, and it may bleed easily.Cervical ectropion is often found in adolescents, women taking birth control pills, and pregnant women whose cervices are softer than normal. It may need treatment if a woman is having symptoms, but it can also disappear spontaneously.
Some menopausal women bleed after sex because diminishing estrogen levels cause the thinning of the vaginal walls, which can become irritated from intercourse. This is called atrophic vaginitis, a condition that can be alleviated by using lubricating gels during sex.
It can also be treated with estrogen, either locally delivered to the vagina or taken systemically (though it should be known that hormone replacement therapy carries some potential risks).
Sexually transmitted Infections (STIs)
STIs such as chlamydia and gonorrhea are caused by bacteria passed between partners during sexual contact. In women, these common STIs attack cervical cells and can cause not only bleeding but a variety of other symptoms, such as vaginal discharge, pelvic pain, itching, and burning. These common STIs can be treated with antibiotics. Left untreated, chlamydia and gonorrhea can lead to infertility.Trichomoniasis is another type of vaginal infection. It is caused by a single-celled parasite that is usually spread through sex. In addition to causing bleeding after sex, it can also cause vaginal discharge and itching.
Benign growths on the cervix (called cervical polyps) or uterus (called uterine or endometrial polyps) can all lead to bleeding during or after sex.