Vaginal bleeding occurs when couples have sex, which not only endangers physical health, but also leads to a loss of sexual interest. So, why do couples bleed when they have sex? It can be roughly summarized into 4 points, let’s take a look.

1. External genital tract injury

Hymen damage. The most common is the rupture of the hymen during first intercourse, and this type of bleeding usually occurs during sexual intercourse. There may be pain during sexual intercourse, and bleeding may occur at the same time. The amount of bleeding is usually not large. If the injury is not severe, the bleeding will stop soon.

Vaginal laceration. This often occurs during or at the end of sexual intercourse. The specific manifestation is vaginal bleeding that is heavy and difficult to stop on its own and oozes for a long time. Vaginal lacerations often occur during involuntary sexual intercourse or very rough sexual intercourse.

In addition, improper sexual intercourse posture and position can also cause vaginal injury and bleeding. The amount of bleeding is related to the location and extent of the injury.

2. External genital tract inflammation

Pelvic inflammatory disease. Pelvic inflammation can cause pelvic congestion. If the endometrium is congested and edematous, the congested endometrium may be released after having sex, but this chance is rare.

Cervicitis or cervical erosion. 90% of married women suffer from cervicitis. Cervicitis is divided into three types: mild, moderate and severe according to the degree of cervical erosion. For those with moderate or above cervical erosion, the glans of the man's penis rubs against the cervix during sexual intercourse, which can cause damage and bleeding.

Cervical polyps. The cervix is ​​stimulated by chronic inflammation for a long time, and cervical polyps can occur. Single or multiple small pedunculated granulation tissues grow at the mouth of the cervix, which look like soybean sprouts and can be as large as a finger.

Cervical cancer. Bleeding after intercourse is the earliest symptom. Because there are many small blood vessels in cancer lesions and the tissue is relatively fragile, capillaries will rupture and bleed due to damage every time after sexual intercourse. If the cancer progresses, it will bleed more easily.

Early-stage cervical cancer. The patient's cervix may have no obvious changes, or cancer and cervical erosion may coexist. Cervical cancer tends to bleed after being touched, mostly due to the invasion of cervical cancer tissue into the interstitial blood vessels.

Endometriosis. Some endometriosis grows on the cervix and appears as blue-purple nodules. If you encounter this kind of blue-purple ectopic nodule during sexual intercourse, it will cause bleeding. The bleeding is usually small in amount and dark red in color, and abdominal pain often occurs after intercourse.

3. External malignant tumors

Cervical cancer. Cervical cancer is one of the common causes of bleeding after sex. Most patients with cervical cancer do not have any symptoms in the early stages, and bleeding after sexual intercourse may be the only symptom of early-stage cervical cancer.

Local lesions of the reproductive system. There are many reasons for bleeding during sexual intercourse in women, which can be roughly divided into two categories: improper sexual intercourse and local organic lesions of the female reproductive system, with the latter being the most common.

4. Having sex after menstruation or abnormal menstruation

If you encounter abnormal menstruation, you think that the menstruation is clean. As a result, premature sexual intercourse will cause uterine contraction under sexual stimulation, and the remaining blood in the uterine cavity will be discharged from the vagina. In addition, there are a few women who experience bleeding during ovulation. For this type of bleeding, if there are no abnormal findings in the vagina and cervix during a gynecological examination, the above possibilities should be considered.

Can couples get pregnant if they have bleeding in the same room?

Bleeding during intercourse does not necessarily mean pregnancy. Generally, it is easier to get pregnant during ovulation. It is basically safe at other times. If you have friends who are contraceptive, you must take corresponding contraceptive measures during intercourse. This will be safer. Watch out for bleeding during intercourse. Whether you suffer from cervical erosion, you should find out the cause; this will be more helpful for friends who are preparing for pregnancy, and they can take timely treatment if the situation is not optimistic.

The most important thing when preparing for pregnancy is to have an optimistic attitude. Keeping a comfortable attitude will help you conceive a baby!