Vaginal Bleeding After Sex

Mucus membrane or tissue which blocks the opening of Vagina is called Hymen. Present in all girls from birth, Hymen undergoes changes in size till Puberty.  Perforation In the middle of Hymen allows the blood flow during Menstruation. Being delicate, Hymen can be ruptured or split due to different factors. In many cases the rupture is unnoticeable but in some cases following symptoms might appear:

  • Slight Spotting (Bleeding)

  • Mild to Heavy Bleeding

  • Severe Bleeding

Regardless of the fact that Hymen has been ruptured or not, women may not experience bleeding after first Intercourse.


Vaginal bleeding after Intercourse means discharge of blood during or after Intercourse when woman is not menstruating or expecting Menstruation. Bleeding after intercourse usually occurs in women ranging from age group of 20 to 40 years. Lower narrow end of Uterus known as Cervix is the source for Vaginal bleeding after intercourse mainly before Menopause.


Post Coital or Vaginal Bleeding after Intercourse is not to be taken lightly. The causes for it can be as follows.

  • Cervical Dysplasia is precancerous changes of Epithelial Cells lining Cervix. Following are the risk factors for developing this condition:

    • Intercourse before age 18.

    • Multiple sex partners.

    • Childbirth before age 16.

    • A history of STDs.

  • Chlamydia is a bacterial infection. It is transmitted usually due to sexual activity or contact with infected semen, vaginal fluid or blood.

  • Gonorrhea is a sexually transmitted disease caused by a bacteria (N.gonorrhoeae).

  • Vaginitis (Cervicitis) is the Inflammation and infection of Vagina or Cervix.

  • Cervical Polyps are smooth finger like projections, which grow out of the Mucus layers of Cervix or Cervical Canal. They are extremely fragile and can be painlessly removed.

  • Trichomoniasis is sexually transmitted disease caused by a Protozoan. This organism can be passed on from infected mother to the unborn child. Other means for its transmission include tap water, urine, hot tubs and on toilet seats.

  • Vaginal Yeast Infection is the overgrowth of fungi residing in the Vaginal area.

  • Endometritis or Adenomyosis; Endometritis is the inflammation of the innermost layer of Uterus. Adenomyosis occurs when endometrial tissues attach themselves to Uterus or other organs like Ovaries and grow outside the Uterus.

  • Uterine Polyps are the overgrowth of Endometrium, causing protrusions in Uterus.

  • Fibroid Tumors are solid masses of fibrous tissues whose symptoms vary in women. These Uterine Fibroid Tumors are usually the Benign Tumors. Women suffering from Fibroids must never take Estrogen as it increases the Fibroid Growth.


Treatment of vaginal bleeding involves making sure that bleeding is from Vagina and not from Rectum or Urine. Insertion of Tampon in your Vagina helps to evaluate if the source of bleeding is from area of Vagina, Cervix and Uterus.

If the bleeding is heavy just rest and keep track of the pads and tampons used. So that your healthcare practitioner can determine the amount of bleeding.

Avoid use of Aspirin as it increases bleeding.