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Intercourse Poser: Is Bleeding After S.ex Normal?

While it's well understood that bleeding might occur after the first time you have s.ex - because it's likely your hymen will tear in the process, postcoital vag.inal bleeding can happen anytime to pretty much anyone.

Or to be totally clear, it happens to about 9 percent of all women at some point in their lives. It could be a simple case of not using enough lube - but it can also be a sign of something much more serious.

To offer some guidance on when you should just give your va.gina a rest for a few days and when you should see a doctor right away. 

Where is it coming from? 
Vaginal bleeding after se.x gets complicated fast because there are lots of different spots the blood can be coming from.
A Gynecologist at Work 

Dr. Aimes-Oelschlarger said she breaks it down into four different locations: the entrance of the vag.ina at the hymen, inside the vag.ina (on the walls or in the septum, if you have one), the cervix, and inside the uterus.

Different things cause each of these locations to bleed, and they all vary in severity. The most immediately severe bleeding comes from a tear in a vaginal septum, which is a piece of flesh that divides the vagina in half that about 1 in every 3,000 to 80,000 women are estimated to be born with.

A tear in the septum can result in very heavy bleeding—like soaking through a pad every hour or so—and recommends going to the emergency room immediately if you suspect this has happened to you after se.xual activity.

The most common source of bleeding in younger women, according to Dr. Aimes-Oelschlarger, is tiny fissures (or cuts) near the vaginal entryway that you may not notice until you touch the spot with toilet paper and feel a slight burn or stinging sensation.

Another common source is from inside the uterus, which gets jostled around when you have se.x or orgasm - and might shed some lining in the process. This is even more common if you're about to start your period in the next week or so.

How to know if its dangerous 
The most important thing to pay attention to is the volume and rate of the bleeding. Like any other wound, a lot of blood is never a good sign.

"Most postcoital bleeding will be pretty light, except for the septum," she said. "It's pretty rare to have really heavy bleeding unless there's a laceration in the va.gina. The heavy bleeding, where you're soaking through a pad every hour or so or passing large clots, those patients need to be seen very quickly."

If you're passing a clot larger than the size of a quarter, soaking through a maxi pad, or feeling lightheaded or dizzy, you should go to the emergency room. But for lighter bleeding that subsides in a few hours or within a day or so, you can call your gynecologist and schedule an appointment.

When to see your gynecologist?
There are several STIs that can cause vaginal bleeding with se.x (like HPV, chlamydia, gonorrhea, and trichomoniasis) - and yeast infections and cervical and uterine polyps can cause bleeding as well.

A visit to the gynecologist will rule all those things out, and polyps can be easily removed as well. The most crucial reason to see your gynecologist, though, is that regularly bleeding from your cervix during and after se.x can be an early sign of cervical cancer.

Then she said you'll probably test for STIs, HIV, and pregnancy, and then have an exam to rule out polyps, a yeast infection, or any larger fissures that might be on the wall or entry of your va.gina.

Preventing bleeding 
"Some people notice it more with condoms because they're not using lube that's appropriate with condoms. The message here is not to stop using condoms, but to use condom-safe lubrication."

She clarified that for older women, declining levels of estrogen can lead to more sensitive vag.inal tissue that tears more easily.

But women of all ages can experience small fissures if they're not properly lubricated—it has nothing to do with how feminine or se.xy or cool you are, it's just a thing that happens to basically all ladies.

"Be gentle. If you haven't had sex for a while, go slowly. If you're with a partner who has trouble controlling himself, try changing positions so you have more control." - Online Sources 


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