Bleeding After Sexual Intercourse
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Bleeding during sex
Bleeding after sexual intercourse
About the Symptom
Bleeding during or after sexual intercourse can be as little as spotting or light staining of discharge. In some cases it can be heavy like a period. This is also called postcoital bleeding and it is considered abnormal.
When to See a Doctor
Seek professional care if you experience any of the following symptoms
- Fever
- Abdominal pain
- Lower abdominal pain
- Intermenstrual bleeding
Possible Causes
Generally, Bleeding after sexual intercourse can be related to:
- Atrophic Vaginitis
A condition in which the vaginal surface becomes dry and thin, commonly seen after menopause due to decreased female hormone levels. Symptoms include itching and painful intercourse.
- Trichomoniasis
Infection of the vagina by a parasite called Trichomonas. The disease is sexually transmitted but often does not cause any symptoms in men.
- Chlamydia Infection
A sexually transmitted infectious disease. It can cause abnormal vaginal or penile discharge and pain in the pubic area, but most infections have no symptoms. Chlamydia infection can also cause infertility and ectopic pregnancies and can be transmitted to the throat and rectum.
- Cervical Cancer
- Cervical Polyp
- Gonorrhea
- Cystitis
- Uterine Fibroids
Related Serious Diseases
Sometimes, Bleeding after sexual intercourse may be related to these serious diseases:
- Sexual Trauma
Genital trauma meaning injury to the genitals, can occur for a variety of reasons. Most often caused by sports injuries, accidents such as on a bicycle, or vigorous intercourse. Tears or injuries can also occur with childbirth. Sexual assault should also be considered.
- Pelvic Inflammatory Disease
Doctor's Diagnostic Questions
Your doctor may ask these questions to check for this symptom:
- Have you experienced any bleeding during or after sex?
- How often do you experience bleeding during or after sex?
- How long have you been experiencing bleeding during or after intercourse?
Reviewed By:
Ravi P. Chokshi, MD (Obstetrics and Gynecology (OBGYN), Critical Care)
Current Maternal Fetal Medicine Fellow with Dual board certification in Obstetrics & Gynecology and Critical Care Medicine. | 5+ years experience managing a general Ob/Gyn practice and working in the Intensive Care Unit. | Previously Physician Lead of a large single specialty practice with 8 Physicians and 10+ Advanced practitioners. | Member of the Society of Maternal Fetal Medicine Patient education committee. | Frequent Medscape Consult contributor.
Seiji Kanazawa, MD, PHD (Obstetrics and Gynecology (OBGYN))
Dr. Kanazawa graduated from the Niigata University Faculty of Medicine and received his Ph.D. from the Tohoku University Graduate School of Medicine. He is working on the front line of the General Perinatal Center, including the Tokyo Tama General Medical Center and the National Center for Research in Fertility Medicine, where he provides maternal and fetal care and undertakes clinical research. At Ubie, Dr. Kanazawa has been designing the Ubie AI Symptom Checker and has taken on the role of general obstetrics and gynecology consultation at FMC Tokyo Clinic by providing fetal ultrasound and prenatal consultation.
Content updated on Feb 6, 2025
Following the Medical Content Editorial Policy
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
ACOG Patient FAQ - Abnormal Bleeding
https://www.acog.org/womens-health/faqs/abnormal-uterine-bleedingManagement of Acute Abnormal Uterine Bleeding in Nonpregnant Reproductive-Aged Women
https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2013/04/management-of-acute-abnormal-uterine-bleeding-in-nonpregnant-reproductive-aged-womenPostcoital Bleeding: A Review on Etiology, Diagnosis, and Management
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4086375/Lindner LE, Geerling S, Nettum JA, Miller SL, Altman KH. Clinical characteristics of women with chlamydial cervicitis. Journal of Reproductive Medicine for the Obstetrician and Gynecologist. 1988;33(8):684–690.
https://pubmed.ncbi.nlm.nih.gov/3050073/Shapley M, Blagojevic-Bucknall M, Jordan K, Croft P. The epidemiology of self-reported intermenstrual and postcoital bleeding in the perimenopausal years. British Journal of Obstetrics and Gynaecology. 2013;120(11):1348–1355.
https://pubmed.ncbi.nlm.nih.gov/23530690/