Patient's question:
I had my first sexual experience with my boyfriend just two days ago, but in the following two days, whenever we have sex, there is always a small amount of bleeding from my vagina, and there is also a sense of pain. Why is this happening?Doctor's answer:
Vaginal bleeding during intercourse first requires identifying the cause. If the bleeding is due to local organic lesions of the female external genitalia, treating the local condition will resolve the bleeding. For instance, if the bleeding is caused by conditions such as vulvar ulcers, vulvar eczema, or vulvar herpes, antibiotics should be used to reduce inflammation, and the eczema or herpes should be treated to naturally resolve the bleeding. If the bleeding is due to trichomoniasis, metronidazole should be used to treat the infection, and once the trichomoniasis is cured, the bleeding will naturally stop. If the bleeding is caused by improper intercourse, both partners should learn about sexual health, show mutual understanding, cooperate fully, and the woman should relax mentally. The man should be gentle during intercourse, avoiding roughness. Postmenopausal women may apply a lubricant externally during intercourse to improve vaginal moisture and prevent atrophy. Sexual activity should be appropriately restrained, and intercourse is prohibited during a woman's menstrual period. Women over 40 with vaginal bleeding during intercourse should be cautious of the possibility of malignant genital lesions.