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Bleeding with sex (intercourse)

Not all bleeding/spotting with intercourse suggests a medical crisis. Common, everyday causes may include:

  • Chafing irritation because of dryness/insufficient lubrication/prolonged thrusting. This would be a good reason to use vaginal lubrication!
  • You have vaginismus or dyspareunia — your vagina is tight (nervous) and thus diminished in diameter because of clenching, thus causing chafing irritation;
  • You just started having intercourse and are still breaking leftover hymenal tissue. The good news is that once totally broken, it does not grow back!
  • Your vagina is less elastic because of estrogen depletion, such as in menopause or because of cancer treatment;
  • You just had your period, and the tapping of the penis on the uterus shakes out leftover blood.

So,  before you panic and think of the inevitable (infection, cancer), explore the above.  Seek medical help if the bleeding/spotting persists.

About The Author

vaginismus specialist Dr. Ditza Katz team member Women's Therapy Center

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