Hard Sex Bleeding

Hard Sex Bleeding




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Every piece of content at Flo Health adheres to the highest editorial standards for language, style, and medical accuracy. To learn what we do to deliver the best health and lifestyle insights to you, check out our content review principles .
Have you ever experienced bleeding during or after sex? It’s actually more common than you might think. Today, we’ll investigate possible reasons for heavy bleeding after sex and identify risk factors associated with bleeding during sex.
Among other things, bleeding after sex can be a side effect of menopause, or it can be a sign of a serious condition. Vaginal bleeding after sex is also called postcoital bleeding and can be caused by:
While some of the causes of bleeding during or after sex don’t pose a serious threat, sometimes vaginal bleeding after sex can be a sign of a more serious issue.
Vaginal bleeding during sex can be caused by many of the same things that can cause bleeding after sex. These include infection, vaginal trauma due to dryness, cervical polyps, menopause, and cancer. However, there are some other conditions that can cause bleeding during sex specifically:
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The tissue that lines the rectum is very sensitive and tears easily. Bleeding after anal sex can be caused by the insertion of a finger, penis, or sex toys. Bleeding after anal sex can also be caused by friction, rough or aggressive intercourse, or by rough edges on objects that may be inserted through the anus into the rectum.
If you’re bleeding after anal sex, you may need to add or use more water-soluble lubricant to prevent these types of injuries. Bleeding from sex can lead to additional health concerns. This is even more important if you bleed during or after sex every time you and your partner engage in intercourse. If this happens, you may need to visit a health care provider and/or make some changes to the way you have sex.
It’s difficult to determine exactly how long it takes after conception for implantation bleeding to occur. During a normal menstrual cycle, the optimal time to conceive is usually the 5–6 days of the fertile window. The human ovum (the egg cell) lives up to 24 hours. However, sperm can live up to five days in the female reproductive organs. This means that you could have sex that leads to pregnancy up to five days before ovulation.
Once an egg has been fertilized, it undergoes multiple stages of cell division before it’s ready to start the implantation process. First, the fertilized egg enters the uterine cavity about four days after ovulation, and the endometrium becomes receptive to implantation six to eight days after ovulation, remaining receptive for about four days. The implantation itself occurs 6 to 10 days after ovulation and lasts for four to five days. It may result in some light bleeding or spotting, which typically occurs about 10 to 14 days after conception, but you should not experience implantation bleeding as soon as one or two days after sex. So if it happens, implantation bleeding will be the result of sex that occurred about 10 to 14 days ago. 
Light bleeding during the first 12 weeks of pregnancy is not uncommon. The cause of this spotting 10 to 14 days after conception may be the egg implanting into the blood-rich uterine lining. In this case, light bleeding after sex should not be concerning. 
Most miscarriages occur in the first trimester. If you’re pregnant and experience any bleeding and/or cramping, contact your health care provider immediately. 
After 12 weeks, miscarriage is less likely, and light bleeding after sex (spotting) is fairly common in the second trimester. This is because the cervix and uterus have an increased amount of blood supplying these areas. Because of this, it may be easier for small blood vessels to be damaged during intercourse. 
During pregnancy, light bleeding after sex without cramps may be caused by something making contact with your cervix. To help alleviate this, try different sex positions that might be more comfortable. If you have any concerns at all, it’s best to speak to a health care provider.
Bleeding after sex can be fairly common. Health care providers tend to be more concerned when a pregnant person is bleeding after sex or when they are postmenopausal and bleeding after sex. However, heavy bleeding after sex is only normal if it is related to your period. 
Pay attention to how often you need to change your pad or tampon and if you are passing any clots. If you’re experiencing heavy bleeding after sex that’s not related to your period, it’s important to seek medical attention as soon as possible. This is especially true if you need to change your pad or tampon every hour and/or are passing clots larger than a quarter. If you cannot get in to see a health care provider, a visit to the emergency department may be necessary.
Sapra, Katherine J., et al. “Signs and Symptoms of Early Pregnancy Loss: A Systematic Review.” SAGE Journals, 23 June 2016, journals.sagepub.com/doi/10.1177/1933719116654994. UCSF Health. “Conception: How It Works.” Ucsfhealth.org, UCSF Health, 31 Oct. 2019, www.ucsfhealth.org/education/conception-how-it-works. Mayo Clinic Staff. “Vaginal Bleeding.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 23 Apr. 2019, www.mayoclinic.org/symptoms/vaginal-bleeding/basics/definition/sym-20050756. “Сhapter 17: Non-Menstrual Vaginal Bleeding Management in Primary Care.” Women's Health in Primary Care, by Anne Connolly and Amanda Britton, Cambridge University Press, 2017, pp. 138–140. Sapra, Katherine J, et al. “Signs and Symptoms of Early Pregnancy Loss.” Reproductive Sciences (Thousand Oaks, Calif.), SAGE Publications, 27 Sept. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5933199/. “Bleeding During Pregnancy.” ACOG, Sept. 2019, www.acog.org/womens-health/faqs/bleeding-during-pregnancy.

Read about Causes of Bleeding After Sex
Associate Professor of Medicine, Brigham and Women’s Hospital
Associate Professor of Medicine, Brigham and Women’s Hospital
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Associate Professor of Medicine, Brigham and Women’s Hospital
While there is an array of color and consistency to vaginal discharge, it's quite common to have bloody vaginal discharge after your period. Other causes can relate to age, bacterial or yeast infections, or an STD.
Are you experiencing vaginal bleeding outside of your normal menstrual cycle, after sex, or after menopause? It's important to recognize patterns of vaginal bleeding outside of your normal menstrual cycle so you can talk to your doctor.
While there is an array of color and consistency to vaginal discharge, it's quite common to have bloody vaginal discharge after your period. Other causes can relate to age, bacterial or yeast infections, or an STD.
Are you experiencing vaginal bleeding outside of your normal menstrual cycle, after sex, or after menopause? It's important to recognize patterns of vaginal bleeding outside of your normal menstrual cycle so you can talk to your doctor.
While there is an array of color and consistency to vaginal discharge, it's quite common to have bloody vaginal discharge after your period. Other causes can relate to age, bacterial or yeast infections, or an STD.
Are you experiencing vaginal bleeding outside of your normal menstrual cycle, after sex, or after menopause? It's important to recognize patterns of vaginal bleeding outside of your normal menstrual cycle so you can talk to your doctor.
Take a quiz to find out what's causing your bleeding after sex.
It is normal to bleed after sex if it your first time or if it has been awhile since your last sexual experience. However, if this is not the case, then bleeding after intercourse can be caused by trauma to the vagina, menstruation, a symptom of a sexually transmitted disease, or a cervical polyp. Read below for more information on causes and treatment options for bleeding after sex.
Take a quiz to find out what's causing your bleeding after sex.
Sex rarely means the same thing twice, but one thing is for sure, bleeding after sex shouldn't go unnoticed. The female anatomy, in particular, is designed to withstand sex, with an underlying principle being conception. Bleeding may indicate damage to vital structures, and if you see blood after sex , consider all symptoms and any possible causes.
The following symptoms can present with bleeding after sex:
The vagina is a complex structure extending from the vulva to the cervix. During sexual arousal, moisture is increased to facilitate smoother penetration during sexual activity. Vaginal bleeding after intercourse can be normal after you have sex for the first time, or if it has been a long time since your last sexual experience . Sometimes bleeding will stop and heal on its own, but it may also be a sign of more serious conditions.
Bleeding after sex may be caused by direct trauma or from several illnesses. It is not uncommon for vaginal penetration during sex to irritate the vagina or cervix and cause bleeding. While the bleeding may appear to be directly associated with sex, there is also the possibility of other root causes.
Environmental causes can be due to certain habits or natural bodily processes.
Medical causes can involve underlying conditions or illnesses.
This list does not constitute medical advice and may not accurately represent what you have.
Uterine fibroids are benign growths in the wall of the uterus and most often appear during childbearing years. Fibroids are almost never associated with cancer.
Those at higher risk include black women and women who started their periods at a young age. Other risk factors are vitamin D deficiency, poor diet, obesity, drinking alcohol, and family history of fibroids.
Fibroids can cause pelvic pressure and pain, severe menstrual cramping, and heavy menstrual bleeding that leads to anemia. Quality of life is diminished due to the chronic pain and discomfort. Though fibroids don't always make it impossible to become pregnant, infertility and pregnancy loss may occur as well as pre-term delivery.
Fibroids can be diagnosed through a routine pelvic exam or ultrasound in a doctor's office.
A gynecologist can prescribe various medications to ease the symptoms and regulate the menstrual cycle. There are also a number of surgical techniques, some minimally invasive, to shrink or remove the fibroids while leaving the uterus in place. Hysterectomy, or removal of the uterus, is an option in some cases.
Top Symptoms: vaginal bleeding, pelvis pain, abdominal cramps (stomach cramps), painful periods, irregular period
Many women suffer from light bleeding after sex .
For now this is nothing to worry about. If your symptoms last longer than a month, make an appointment with your primary care physician or gynecologist.
Top Symptoms: bleeding after sex, vaginal discharge, urinary changes
Symptoms that always occur with post-sex bleeding: bleeding after sex
Symptoms that never occur with post-sex bleeding: urinary changes, vaginal discharge, vaginal pain
Take a quiz to find out what's causing your bleeding after sex.
Polycystic ovary syndrome , or PCOS, is a condition in which a woman's ovaries do not correctly release one egg cell per month (ovulate) as is normal. Instead, the egg cells remain on the surface of the ovary and fluid-filled cysts form around them.
The cause is not entirely known, but PCOS can be caused by significant weight gain because that brings about hormonal imbalance and insulin resistance. There may also be hereditary factors.
Symptoms include very irregular and abnormal menstrual periods. There may be signs of excess male hormones such as acne, facial and body hair, or even male pattern baldness.
Untreated PCOS can lead to infertility, complications of pregnancy, abnormal uterine bleeding, depression, and endometrial cancer.
Diagnosis is made through symptoms, pelvic examination, blood tests, and ultrasound.
PCOS is often treated with birth control pills, which suppress ovulation, regulate the monthly cycle, and decrease male hormone production. Maintaining normal body weight can often help the condition.
Pelvic inflammatory disease , or PID, is the general term for a bacterial infection of a woman's reproductive organs.
PID is most often a complication of a sexually transmitted disease (STD) such as gonorrhea or chlamydia. However, it is possible to get PID from other causes.
Any woman can be affected. It is most often found in sexually active women under age 25, especially those who have had PID before, have multiple partners, and/or douche frequently.
Symptoms include fever, lower abdominal pain, foul-smelling vaginal discharge, pain and/or bleeding during sex, and pain on urination.
Untreated PID can cause infertility due to damaged tissue in the reproductive tract, as well as chronic pelvic and abdominal pain. Unprotected sex partners will be infected as well.
Diagnosis is made through symptoms, pelvic examination, vaginal and cervical swabs, and urine tests.
Treatment is with a course of antibiotics. Be sure to finish all of the medication as directed, even when you begin feeling better.
To prevent PID, have all partners (male or female) tested for STDs and avoid unprotected sexual contact.
Top Symptoms: fever, abdominal pain or unusual vaginal discharge, vaginal discharge, nausea or vomiting, vaginal bleeding, pelvis pain
Symptoms that always occur with pelvic inflammatory disease: fever, abdominal pain or unusual vaginal discharge
Gonococcal cervicitis is an inflammation of the cervix – the passageway at the lower end of the uterus – caused by the bacteria Neisseria gonorrhoeae, or gonorrhea.
Gonorrhea is a sexually transmitted disease (STD) and spreads through unprotected sexual contact.
Symptoms include abnormal vaginal discharge, pain or discomfort during sex, and vaginal bleeding after sex. However, some women have few or no symptoms.
If not treated, gonococcal cervicitis can lead to further infection of the reproductive tract and to pelvic inflammatory disease, which can cause sterility.
Diagnosis is made after a cervical swab is taken and tested.
Treatment is through a course of oral antibiotics. Women diagnosed with gonococcal cervicitis should be further tested for other common STDs such as chlamydia and trichomoniasis, as they are often found at the same time.
The best prevention for gonorrhea is the use of a condom during sex, as well as testing of all sex partners so that they can be treated and not re-infect anyone.
Cervicitis in general can be prevented by not exposing the cervix to douching or other irritants.
Top Symptoms: vaginal discharge, vaginal bleeding, painful sex, yellow pus vaginal discharge, heavy menstrual flow
Symptoms that never occur with gonococcal cervicitis: improving vaginal discharge
Endometrial polyp s are noncancerous growths in the uterine cavity. Associated symptoms include spotting and bleeding during or after sexual intercourse.
You should speak with your primary care physician or OB/GYN about these symptoms.
Chlamydia is a common bacterial infection that is spread through unprotected sex. Each year, over 1 million Americans are diagnosed with this STD.
You should visit a physician to confirm the diagnosis where an antibiotic will be prescribed.
Cervical polyp s are noncancerous growths in the cervical canal. Associated symptoms incl
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