Why bleeds during first intercourse

If you have a vagina, penetrative masturbation can also help you avoid suddenly tearing your hymen. Instead, it will gently stretch over time. If your partner is going to finger you — or if you plan on touching your partner — cutting your nails is essential. What may seem like a nice manicure can cause a lot of bleeding. Be sure to get those pesky hangnails, too.

If you pull foreskin too far back, it can be pretty painful. It could even tear, causing bleeding. Teeth can scrape against genitals, causing discomfort and bleeding. Clitoral stimulation can help with this. Whether or not your vagina is producing enough natural lubrication, it might be a good idea to use lube anyway.

Using lube can reduce friction and scraping inside the vagina. You might want to prepare for anal sex by using an enema , which cleans the lower part of your rectum. Enemas can provide peace of mind, which is important because the next rule of anal sex is to relax. This could make it difficult to penetrate, which can cause pain and bleeding.

Communicate with your partner and give yourself enough time to get aroused. This will help you relax. In every sense of the word, go slowly. Take time with foreplay.

Sexually transmitted infections STIs , such as chlamydia and gonorrhea , are associated with vaginal symptoms, including pelvic pain, itching, burning, vaginal discharge, and frequent, painful urination. Each type of infection has its own characteristic symptoms, and inflammation caused by any of these STIs can cause bleeding. Trichomoniasis is a type of STI caused by a single-celled parasite. Cervical discharge and cervical bleeding are two of the most common characteristics of the disease.

Syphilis and genital herpes can cause open, ulcerative lesions that are prone to bleeding if irritated. While the sores often appear externally, they can sometimes develop inside the vagina and they can be painless and unnoticed until they bleed. Benign growths on the cervix cervical polyps or uterus uterine or endometrial polyps are common causes of bleeding during or after sex. The majority of polyps are benign, but some can develop into cancer over time.

Polyps will sometimes disappear spontaneously, but surgical removal may be needed in some cases. Other noncancerous growths of the genital tract, such as a hemangioma , can also lead to postcoital bleeding, although these are far less common causes. Cervical ectropion is a noncancerous condition where the cells that normally line the inside of the cervix protrude outside through the cervical os the opening of the cervix.

When this happens, the abnormal distention of cervical tissue can cause already-fragile blood vessels to dilate and become inflamed. As a result, bleeding is common with intercourse, the use of tampons, and the insertion of a speculum during a pelvic exam. Cervical ectropion can occur in adolescents, females taking birth control pills, and pregnant females whose cervixes are softer than normal.

It usually does not require treatment unless there is excessive vaginal discharge or bleeding. Postmenopausal females will often bleed during or after sex because diminishing estrogen levels cause the vaginal walls to thin and produce less lubricating mucus. This is referred to as atrophic vaginitis , a condition that is also associated with vaginal itching and burning.

Vaginal lubricants can often ease dryness and decrease pain. Atrophic vaginitis can also be treated with estrogen therapy, either taken orally in pill form, as a dermal patch or cream, or inserted intra-vaginally with a suppository. Oral estrogen replacement therapy does carry some risks. Estrogen-only pills can increase the risk of endometrial cancer for females who still have their uterus and, as such, should either be used for short-term treatment or combined with a progestin to protect the lining of the uterus,.

While younger females can also have vaginitis , typically caused by a bacterial or yeast infection, postcoital bleeding is a far less common symptom in this age group. Endometriosis occurs when the lining of the uterus the endometrium extends outside of the uterus. When this happens, the endometrial tissue can attach itself to the surfaces of other organs, often resulting in excruciating pain and, in some cases, infertility.

Two of the characteristic features of endometriosis are painful intercourse and painful orgasm. Postcoital bleeding is not uncommon when this occurs. Hormone therapy used to reduce estrogen levels is often effective for reducing pain. Pain and bleeding may also be reduced by changing the positions you commonly use during sex. Some, like the missionary position, place added stress on the vagina that may be relieved by a side-to-side position or other positions.

While postcoital bleeding is often associated with infections and abnormalities of the uterus, vagina, or cervix, bleeding can also result from direct trauma to these vulnerable tissues. It may be caused by vigorous sex, which can lead to cuts, scrapes, or tears on the vagina. This is more likely to occur if there is vaginal dryness, which can occur during menopause, when a mother is breastfeeding, or from excessive douching. Bleeding can occur as a result of sexual abuse or violence.

Forced entry can severely damage vaginal tissues and lead to the formation of fissures, which can repeatedly heal and reopen unless medically treated. While cancer is a less likely cause of postcoital bleeding, this symptom is one of the possible signs of cervical , vaginal , and uterine cancer. Every year, around 14, women are diagnosed with invasive cervical cancer in the United States, leading to more than 4, deaths.

People who experience postcoital bleeding during periods of hormonal changes, such as menopause , pregnancy, or breast-feeding, should also talk with a doctor. Endometriosis is a painful condition in which uterine-like tissue grows outside the uterus. Learn about the symptoms, causes, and how to manage it.

After the menopause, reduced estrogen levels can cause atrophic vaginitis, a condition where the vaginal walls become thin, dry, and inflamed. Vaginitis is an inflammation of the vagina that is typically caused by a fungal or bacterial infection. Symptoms include discharge, itching, burning….

Pelvic inflammatory disease is an infection of the female reproductive organs. It can lead to scarring of tissues and organs, and infertility. Is it normal to bleed after intercourse? What are the causes? Share on Pinterest Bleeding after sex is fairly common and may have many different causes. Risk factors. Share on Pinterest To diagnose postcoital bleeding, a doctor may perform a full physical exam, as well as some additional tests.

When to see a doctor. Treatment options. Bleeding after sex during pregnancy. Share on Pinterest Staying hydrated may help to reduce postcoital bleeding. Exposure to air pollutants may amplify risk for depression in healthy individuals. Costs associated with obesity may account for 3. Related Coverage. What to know about endometriosis. What's to know about atrophic vaginitis?

Medically reviewed by Debra Rose Wilson, Ph.