Is there always spotting or bleeding during the first sexual intercourse?
Feb 24, 2025
Source: Cainiu Health
Dr. Zhang Lu
Introduction
In general, "the first time" refers to the first sexual intercourse, and "seeing red" indicates bleeding. Whether bleeding will necessarily occur during first-time intercourse mainly depends on the manner and intensity of the sexual activity. If the sexual activity is relatively vigorous, bleeding usually occurs; however, if the sexual activity is very slow and gentle, there may be no bleeding. It is important to pay attention to bodily changes and understand one's own physical condition.
In general, "the first time" refers to the first sexual intercourse, and "seeing red" means bleeding. Whether bleeding occurs during the first sexual intercourse depends on specific circumstances. If the hymen is moderately thick or has poor elasticity, bleeding generally occurs. If the hymen is thin and has good elasticity, bleeding may not occur. Detailed explanations are as follows:
The hymen is a thin mucosal fold located at the vaginal opening, containing connective tissue, blood vessels, and nerve endings. If the hymen is relatively intact, moderately thick, has poor elasticity, and has a small hymenal opening, penetration by the penis during first sexual intercourse may cause the hymen to rupture, resulting in bleeding. This bleeding is usually minimal, possibly only a few drops, bright red in color, and may be accompanied by brief pain.
If the hymen has a special structure—for example, if the hymenal opening is large, the hymen is thin, and has good elasticity—the hymen might only stretch rather than tear during sexual intercourse, thus no bleeding occurs. Some women have a sieve-like hymen with multiple small openings; in such cases, the hymen can withstand a certain degree of stretching without tearing during sexual intercourse.
After the first sexual intercourse, it is recommended to maintain local hygiene to avoid infection and to eat more light,清淡 foods.
