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 check in the restroom. I really saw very light, thin red blood on the toilet paper that hadn't been flushed away. What could be the reason?Doctor's answer:
1. Vaginal hymen injury. The most common cause is the rupture of the hymen during the first sexual intercourse. This bleeding typically occurs during intercourse. Pain and bleeding may occur simultaneously, but the amount of bleeding is usually not significant. If the injury is minor, the bleeding will stop on its own. However, if the rupture happens to damage blood vessels in the area, the bleeding may be more severe, requiring pressure to stop the bleeding or even a visit to the hospital.2. Vaginal laceration. Bleeding is noticed during or after intercourse, with a large amount of blood that does not stop easily and prolonged leakage. Vaginal lacerations often occur during non-consensual 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, hymen repair, removal of vaginal tumors, or hysterectomy, 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.