What causes vaginal bleeding after intercourse several years post-menopause?
Mar 28, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
Bleeding after intercourse several years post-menopause may be caused by excessive sexual activity, vaginitis, or cervicitis. After menopause, the vagina undergoes degenerative changes and loses elasticity. During intercourse, excessive force may irritate or damage the vaginal mucosa, leading to tears and post-coital bleeding. This condition generally does not require treatment.
Post-coital bleeding several years after menopause may be caused by excessive sexual activity, vaginitis, cervicitis, or other reasons.
1. Excessive Sexual Activity
After menopause, the vagina undergoes degenerative changes and loses elasticity. If sexual intercourse is too vigorous, it may irritate the vaginal mucosa, causing ulceration and resulting in post-coital bleeding. This condition generally does not require specific treatment.
2. Vaginitis
Vaginitis mainly results from a sustained decline in estrogen levels, which increases susceptibility to pathogenic microbial infections. It is characterized by congestion and swelling of the vaginal mucosa. During sexual intercourse, the mucosa may become irritated, leading to bleeding. As directed by a physician, medications such as miconazole tablets, fluconazole tablets, or metronidazole tablets can be taken to relieve symptoms due to their anti-inflammatory properties.
3. Cervicitis
Cervicitis is associated with pathogenic microbial infections and cervical injury. Symptoms include congestion and swelling of the cervical mucosa and abnormal vaginal bleeding. Treatment under medical guidance may include taking Gynecological Qianjin Tablets, Gongyanping Capsules, or levofloxacin tablets, which have antibacterial and anti-inflammatory effects.
In addition to the above causes, conditions such as uterine fibroids cannot be ruled out. It is recommended to seek timely medical evaluation at a hospital to determine the exact cause.
