Bleeding after sex – What can be the cause and what can we do? – Part 1

It’s an unpleasant feeling when you notice blood stains on the sheets after sex. Our period has not come and we are not expecting it now. So what is the cause of the bleeding?

Bleeding after sex can be quite scary, but it is a relatively common problem. It occurs in more than 9 percent of menstruating women. There is probably nothing to worry about, but the bleeding could be the result of an infection. In rare cases, it is a sign of cervical cancer.

Causes of bleeding after sex

The most common causes of vaginal bleeding after intercourse originate from the cervix, which is the narrow, tube-like end of the uterus that opens into the vagina.

One such cause is inflammation of the cervix or cervicitis. It can be continuous and completely harmless, but it can also be caused by a sexually transmitted infection that needs to be treated, such as chlamydia or gonorrhea. Both types of cervicitis can cause bleeding after sex.


The second common cause of bleeding after sex is a cervical polyp. These growths are usually small, about 1-2 centimeters. They often appear at the opening of the cervix. Most of them are not cancerous, but they need to be removed by a doctor.

There are other reasons for vaginal bleeding after sex. These are the following.

  • Friction during sex or insufficient moisture
  • Normal uterine bleeding if your period is just starting or has just ended
  • Cervical or vaginal infection
  • Genital sores caused by herpes or another condition
  • A cervical spot that is precancerous
  • Cervical ectropion – when the lining of the cervix protrudes through the opening of the cervix and grows on the vaginal side of the cervix
  • Pelvic organ prolapse – in which pelvic organs such as the bladder or uterus protrude directly through the vaginal wall
  • Cancer of the cervix, vagina or uterus

Vaginal dryness, which results from the following conditions, can also lead to bleeding:

  • Breast-feeding
  • Child-birth
  • Certain colds, allergies and taking anti-estrogen medication
  • Cancer therapy and its effect on the ovaries
  • Vaginal douching – cleaning the vagina with a mixture of chemicals
  • Sjögren’s syndrome
  • Time of change

Although most of these causes are harmless and do not require treatment, vaginal bleeding after sex can sometimes be a sign of a more serious problem.

gynecologist, examination

Risk factors for bleeding after sex

Bleeding after sex is more likely if you:

  • we are fighting cervical, vaginal or uterine cancer
  • we are in menopause or perimenopause (menopausal transition).
  • have recently given birth or are breastfeeding
  • lacking the appropriate level of arousal before vaginal penetration
  • we use douching products
  • the cervix is ​​infected
  • have a sexually transmitted disease or sexually transmitted infection.

How serious can bleeding after sex be?

If you experience minor bleeding every now and then, you’re probably fine. However, if you want to know for sure, visit your doctor for a physical examination.

If the bleeding occurs immediately before or within a few days after the end of menstruation and does not occur again, we can postpone the doctor’s appointment. The situation is similar if we recently had a pelvic examination and a Pap smear was taken from us.

However, in all other cases – even if we are “just” worried – it is best to get checked out to rule out infection or any more serious problems.

We continue the article.

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Source: Napidoktor by

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