Patient's question:
Why does she bleed somewhat every time during sexual activity with her girlfriend? Additional question: Which department should I go to for this issue?Also, there was once when the flow was particularly heavy—what could be the reason for that?
Moreover, pain often occurs after sexual activity—what’s causing that?
Doctor's answer:
Hello: I'm not very clear about your specific situation, but generally speaking, post-coital vaginal bleeding is a common symptom of gynecological diseases. There are usually several reasons for this:1. Cervicitis (erosion). Many women, especially those with moderate or severe cervical erosion, may develop cervicitis after marriage. During sexual intercourse, the friction between the male's penis head and the cervix can cause injury and bleeding.
2. Cervical polyps. Chronic inflammation of the cervix can lead to the growth of one or more pedunculated polyps at the cervix opening. These polyps are fragile and bleed easily upon contact, so post-coital bleeding may occur.
3. Endometriosis. In some cases, endometrial tissue grows in the cervix, forming bluish-purple nodules. During intercourse, if these bluish-purple endometrial nodules are touched, bleeding may result. The bleeding is usually light in amount and dark red, and abdominal pain may also occur after intercourse.
4. Cervical cancer. Post-coital bleeding is one of the earliest symptoms of cervical cancer. Due to the presence of numerous small blood vessels and fragile tissue at the tumor site, capillaries are easily damaged and bleed during intercourse. If the cancer progresses further, bleeding may become more frequent.
Other causes of post-coital vaginal bleeding include vaginitis, pelvic inflammatory disease, and submucosal uterine fibroids that protrude into the vagina. It's important to take this seriously and seek a detailed medical examination to identify the underlying cause and receive prompt treatment.