Top 8 Causes Of Bleeding After Sex: Causes and Treatments

There are variety of reasons to why a woman may experience bleeding after sexual intercourse.

And it can happen to both young women and women who have reached the menopause stage.

Most causes of blood or spots after sex are alarming and could mean you need to seek medical help as soon as possible.


Bleeding after sex is also known as postcoital bleeding. And here are the top reason why it happens:

1. Vaginal Dryness

Most women experience vaginal dryness at one point in their lives. Vaginal dryness could be caused by menopause, breastfeeding and childbirth, use of contraceptive pill or injection.

It is also caused by not being fully sexually aroused before penetration​.

Not being sexual aroused causes pain and spotting after sex.

There are vaginal lubricant that can be reduced during sex to avoid pain and bleeding during and after sex.


Chlamydia is a common sexually transmitted disease. It is cause by a bacteria called chlamydia trachomatis.

It is common among women of ages between 15-25. Chlamydia is a leading cause of infertility if not treated on time.

One of the symptoms of Chlamydia is pain or bleeding during and after sex.​

Other symptoms are yellow or milky white vagina discharge, bleeding or spotting between periods​, Abdominal and lower back pain.

3. Damage to the vagina Walls and tissue

A damage to the vagina could be caused by a tear during childbirth, rough sex and excessive friction during sex.

As women grow older their estrogen level decreases​. This leads to a delicate and sensitive vaginal tissue that is more prone to tear.

4. Inflammation of the Cervix

Inflammation and irritation of the cervix is also known as the cervicitis. One of the symptoms is pain and itching during and after intercourse.

5. Cervical ectropion

A cervical erosion(ectropion) is a change to the cells close to the opening of the cervix.

Cervical erosion may cause discharge, spotting and pain during and after intercourse.

6. Cervical Polyps

Cervical Polyps are small, long tumors that grows on the cervix.

The cause of this growth on the cervix is yet to be understood.​

Some of the symptoms are vaginal discharge, abnormal vagina discharge during and after sex.

7. Cervical or Vaginal cancer

Vaginal bleeding is one of the common symptoms of cervical cancer. 

Other symptoms includes bleeding between periods and pain and cramping during sex.

8. Spotting during Ovulation

It's not uncommon for a woman to spot during ovulation or during implantation.

Learn More: Spotting after Ovulation  ​

What Can I do If I'm Bleeding During Sex and Not On Period

See a doctor immediately if you've vaginal bleeding during menopause.

If your vaginal bleeding is caused by ​rough sex and vaginal dryness, get a lube but if it persists and uncomfortable go to the doctor.

The doctor may have your hormones tested.

You should also see a doctor if you experience any of the following symptoms:

  • Vaginal Itching​
  • Heavy bleeding
  • Discomfort or pain during sex
  • Abnormal vagina discharge
  • lower abdominal back pain

Some common Related questions

Here are some of the important questions you may need answers to.


Fingering can stretch or tear the hymen. Fingering or any other form of penetration cause this.

Also if the fingering is rough or the guy has got long nails. It is possi​ble for him to damage her vagina walls or tissues.

How Long does Bleeding After First Time Sex Last For

It is a normal to experience some blood shed after losing your virginity.

Although not all women do.

The bleeding is caused by the breaking of the hymen.

What's the hymen?

The hymen is a thin membrane that surrounds the opening of your vagina.

During you first penetration the hymen may break or rupture which is followed by blood.

Don't be afraid if you don't see any blood after your first sex.

Some girls may experience spots up to 3 days after losing their virginity.


Yes it is normal to spot or have light bleeding but if bleeding is heavy and last longer than 3 days you should see the doctor.

What To Do If You See Blood After Sex During Pregnancy

See your Doctor or gynaecologist immediately if you see any sign of blood after sex when pregnant.

Related Reading:

Causes of Cramps after Sexual Intercourse

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