What causes bleeding after intercourse?
Generally, bleeding after intercourse may be caused by hymenal rupture, vaginal injury, cervicitis, endometritis, or balanitis. Patients are advised to seek timely medical attention and choose an appropriate treatment plan based on the underlying cause. Specific analyses are as follows:
1. Hymenal Rupture
For females who have not previously engaged in sexual activity, the hymen may tear or stretch during first-time intercourse, resulting in vaginal bleeding. This type of bleeding is usually mild and short-lived, and typically does not require special treatment.
2. Vaginal Injury
During intercourse, friction or other factors may injure the vaginal tissues, leading to bleeding. The injury may range from minor surface abrasions to more severe tissue damage. In such cases, patients are advised to rest adequately; generally, no serious concerns are expected.
3. Cervicitis
Cervicitis is an inflammation of the cervix, commonly caused by bacterial or viral infections. During intercourse, the inflamed area may become irritated and bleed, possibly accompanied by abnormal vaginal discharge, itching, or pain. Under a doctor's guidance, patients may use medications such as levofloxacin hydrochloride capsules, cefixime capsules, or Gynecological Qianjin tablets.
4. Endometritis
Endometritis is an inflammation of the endometrium (the lining of the uterus), which may result from ascending bacterial infection or sexually transmitted diseases. During intercourse, stimulation of the inflamed area may lead to bleeding, along with symptoms such as abdominal pain, fever, and abnormal vaginal discharge. Under medical supervision, patients may be treated with medications such as doxycycline hydrochloride tablets, minocycline hydrochloride tablets, or azithromycin dispersible tablets.
5. Balanitis
Balanitis is usually caused by bacterial or fungal infections or allergic reactions. These inflammations can cause redness, swelling, and pain of the glans penis, and in severe cases, bleeding may occur. With medical guidance, patients may apply topical antifungal creams such as clotrimazole cream, miconazole nitrate cream, or terbinafine hydrochloride cream.
In daily life, it is recommended to maintain a positive mindset, avoid spicy, stimulating, and greasy foods, get adequate rest, and develop healthy lifestyle habits.
