Patient's question:
Doctor:Hello, I have a few sexual partners. My last menstrual period was at the end of last month. However, this time when I had sex with my boyfriend, there was some bleeding, but not much. I want to ask if it was because I was too rough or if it was due to having too much sex?
Doctor's answer:
Post-coital vaginal bleeding should first be ruled out for issues in the female reproductive tract, such as common conditions like vaginal polyps, cervical polyps, cervical erosion, uterine fibroids, etc. Due to the friction and impact of the penis, these polyps or eroded areas may rupture and bleed. If post-coital bleeding occurs frequently, it is important to be cautious of cervical cancer, endometrial cancer, and other conditions. Mid-cycle intercourse may result in slight vaginal bleeding due to corpus luteum rupture. Women with ectopic pregnancy may experience ectopic pregnancy rupture during intercourse, and some may also bleed. Generally, post-coital vaginal bleeding is a symptom of early cervical erosion and should be thoroughly examined at a hospital. If confirmed, physical therapy should be administered.