Patient's question:
I had sexual intercourse 40 days after giving birth, and the next day, I started bleeding from my vagina. How should I handle this? Do I need to take medication? What kind of medication should I take?Doctor's answer:
Vaginal bleeding during intercourse requires identifying the underlying cause. If the bleeding is due to organic lesions in the female external genitalia, treating the local condition can resolve the bleeding. For instance, if the bleeding is caused by conditions such as vulvar ulcers, eczema, or 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 administered to eliminate the infection, and once the trichomoniasis is cured, the bleeding will naturally cease.If the bleeding is caused by improper intercourse, both partners should learn about sexual health, show mutual understanding, and cooperate fully. The woman should relax mentally, and 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 menstruation. Women over 40 with postcoital bleeding should be cautious of the possibility of malignant genital lesions.