Bleeding during sex can be caused by a variety of reasons, which may vary from person to person. Here are some common reasons and their explanations:
1. First time having sex
Cause: During first time having sex, a woman may bleed a small amount due to a tear in the hymen. The hymen is a thin membrane that covers the entrance to the vagina, and intercourse can cause it to tear.
Symptoms: Usually a small amount of blood, which may be accompanied by mild discomfort.
2. Vaginal dryness
Cause: Vaginal dryness may cause excessive friction, which may cause tiny abrasions or tears, which may lead to bleeding.
Symptoms: Bleeding is usually a small amount, accompanied by vaginal dryness and discomfort.
3. Menstruation
Cause: Bleeding may occur if intercourse occurs during or after menstruation.
Symptoms: The blood may be mixed with menstrual blood, and the amount is usually small.
4. Infection or inflammation
Cause: Vaginal infection (such as vaginitis, cervicitis) or pelvic inflammatory disease may cause bleeding from the vagina or cervix.
Symptoms: May be accompanied by symptoms such as vaginal itching, odor, and abnormal discharge.
5. Cervical injury or disease
Cause: Diseases such as cervical polyps, cervical erosion, or cervical cancer may cause bleeding during sexual intercourse.
Symptoms: Bleeding is usually small or spotty and may be accompanied by other symptoms such as abnormal discharge or pain.
6. Too intense sexual intercourse
Cause: Too intense or prolonged sexual intercourse may cause tiny tears in the vagina or vulva, which may cause bleeding.
Symptoms: Bleeding is usually small and accompanied by slight pain or discomfort.
7. Hormonal changes
Cause: Changes in hormone levels, such as in early pregnancy or menopause, may affect the health of the vaginal wall and cause bleeding.
Symptoms: Bleeding is usually small and may be accompanied by other symptoms such as vaginal dryness or changes.
8. Contraceptive methods
Causes: Certain contraceptive methods, such as intrauterine devices (IUDs), may cause bleeding after intercourse.
Symptoms: Bleeding may be light and usually not accompanied by other symptoms.