Having experienced bleeding after intercourse for several years with no clear cause identified—what could be the reason, and what should I do?

Years of vaginal bleeding after intercourse without a clear cause may be due to overly intense sexual activity, ovulation-related bleeding, cervicitis, cervical polyps, or vaginal inflammation. This can be improved through adjusting sexual practices, observation and care, and medication. If bleeding occurs frequently or is accompanied by abdominal pain or abnormal discharge, prompt medical attention is necessary.

1. Overly Intense Sexual Activity: Rough movements or excessive frequency during intercourse can repeatedly damage the vaginal mucosa, leading to minor contact bleeding. It is recommended to reduce the frequency of intercourse, avoid aggressive actions, monitor post-intercourse bleeding, and temporarily abstain from sex if needed to allow mucosal healing.

2. Ovulation-Related Bleeding: In some women, hormonal fluctuations during ovulation cause slight shedding of the endometrium, which may worsen with sexual stimulation. The bleeding is typically brief and light in color. Reducing intercourse frequency during ovulation, getting adequate rest, and avoiding fatigue are advised. No specific medication is usually required; simply observe the bleeding pattern.

3. Cervicitis: Inflammation caused by bacterial or viral infection of the cervix leads to congestion and fragility of the cervical mucosa, making it prone to contact bleeding during intercourse, often accompanied by increased vaginal discharge and odor. Under medical guidance, medications such as Baofukang Suppositories, Cefixime Dispersible Tablets, or Azithromycin Dispersible Tablets may be used to relieve symptoms.

4. Cervical Polyps: Polyps form due to excessive growth of cervical canal mucosa. These fragile growths may bleed easily upon contact during intercourse, usually causing small amounts of bright red bleeding. Under medical supervision, medications such as Yunnan Baiyao Capsules, Metronidazole Suppositories, or Cefdinir Capsules may help manage symptoms.

5. Vaginal Inflammation: Imbalance of vaginal flora leads to inflammation, causing congestion and swelling of the vaginal mucosa. Friction during intercourse may result in bleeding, often accompanied by external genital itching and abnormal discharge. Follow medical advice to use medications such as Clotrimazole Suppositories, Metronidazole Vaginal Effervescent Tablets, or Levofloxacin Capsules to improve symptoms.

Maintain good personal hygiene by changing underwear regularly, keeping the external genital area clean and dry, eating a light diet free of spicy or irritating foods, exercising moderately to strengthen immunity, and using proper protection during intercourse to minimize mucosal irritation.