What is the reason for vaginal bleeding after sex with a girlfriend?

Patient's question:

During sex with my girlfriend, her vagina wasn't tight and there was no blood. By tomorrow at 10:30, after she came home from work and used the restroom, she told me she was bleeding. I didn't believe it, and she deliberately asked me to take a look in the toilet. I really saw red paper towels with very light, thin red blood that hadn't been flushed away yet. What's going on?

Doctor's answer:

Vaginal bleeding during intercourse first requires identifying the 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, 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 administered to treat 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, cooperate fully, and adopt appropriate sexual positions and techniques.

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