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, so she deliberately asked me to check in the restroom. I really saw red paper towels with very light, thin red blood that hadn't been flushed yet. What could be the reason?Doctor's answer:
1. Vaginal membrane injury. The most common cause is the rupture of the hymen during the first sexual intercourse. This bleeding usually occurs during sexual activity. There may be pain at the time of bleeding, and the amount of bleeding is typically small. If the injury is minor, the bleeding will stop on its own. However, if the rupture of the hymen happens to damage blood vessels in the area, the bleeding can be more significant, requiring pressure to stop the bleeding or even a visit to the hospital.2. Vaginal laceration. Bleeding is noticed during or after sexual intercourse, with a large amount of blood that does not stop easily and prolonged leakage. Vaginal lacerations often occur during non-consensual sexual intercourse or very rough sexual practices. They can also be seen in cases of vaginal abnormalities, such as longitudinal or transverse vaginal septa, double vaginas, or vaginal stenosis. If wound healing is poor after vaginal plastic surgery, hymenoplasty, removal of vaginal tumors, or hysterectomy, sexual intercourse may also cause injury. Improper sexual positions or positions can also lead to vaginal damage and bleeding. The amount of bleeding depends on the location and severity of the injury.