Ask the Doctor

Bleeding after s3x

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I am a 35-year-old married woman. I recently noticed some bleeding in my private part after having s3x with my husband. Kindly advise me on what to do.

Halima (by SMS)

 

The most common causes of vaginal bleeding after sex start in the cervix, which is the narrow, tube-like end of your uterus that opens into the vagina. One of those causes is irritation or infection of the cervix, called cervicitis. It can happen because of a sexually transmitted infection that you need to get treated, like chlamydia or gonorrhea. Or it can happen from an infection that is not sexually transmitted, like a yeast infection. These infections lead to inflammation, which can cause bleeding after s3x.

A second common reason for bleeding after s3x is cervical polyps. These growths are usually small–about 1 to 2 centimeters. They often appear on the opening of your cervix. Most aren’t cancerous. Your doctor can remove them during an appointment. Other causes of vaginal bleeding after s3x include: Friction during s3x or not enough lubrication, normal uterine bleeding if you›re just beginning your period or if it has just ended, genital sores caused by herpes or another condition, cervical ectropion, a condition when the inner lining of your cervix pokes through the cervical opening and grows on the other side of the cervix, closer to your vaginal opening.

Other likely causes are; Uterine prolapse, which can happen when the tissues around your uterus become weak, and your uterus sags or drops into your vagina, Cancer of the cervix, vagina, or uterus, Precancerous cells in the cervix, vagina, or uterus (abnormal cells that may develop into cancer), Pelvic inflammatory disease (PID), which is an infection of the uterus, fallopian tubes, or ovaries, Hormonal birth control among others. Since there’s not just one cause of bleeding after s3x, there’s no single treatment. Some options include: Vaginal lubricants and moisturizers. If your bleeding is caused by dryness, better lubrication during s3x may eliminate the bleeding., Estrogen therapy.

If decreased estrogen and GSM have caused vaginal dryness, estrogen therapy can help, medication. If you have an infection, including a sexually transmitted infection, your doctor will prescribe antibiotics or other treatment. Cancer treatment is also another form of treatment if the underlying cause of your bleeding is cancer. The treatment (surgery, chemotherapy, or radiation) may stop the bleeding. Finally, if your doctor found polyps that are causing your bleeding, removing them can stop it. 

READ ALSO: My bleeding gums

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