Medical abortion will cause bleeding during sex

Under normal circumstances, it is best not to have sex within three months after an abortion. Because women are in very weak physical condition after undergoing a curettage or medical abortion. And especially the female uterus, it takes time to recover after cleaning. If you have sex at this time, it is easy to get gynecological diseases and may also cause infertility problems. So women must take care of their bodies. But why does bleeding occur during sex after medical abortion?

Why does bleeding occur after sex?

1. External genital tract injury

1. The hymen ruptures during first intercourse. There may be pain and bleeding at the time, but the amount of bleeding is usually not much. If the injury is not serious, the bleeding will stop soon. However, sometimes when the rupture of the hymen happens to damage the blood vessels in that area, bleeding is more severe and requires pressure to stop the bleeding (such as using a clean cotton ball or gauze, a clean towel, etc.), or even going to the hospital for treatment.

2. Vaginal laceration. Generally, vaginal bleeding is found after sexual intercourse and the amount of bleeding is heavy, difficult to stop on its own, and lasts for a long time. Vaginal lacerations often occur during involuntary or extremely rough sexual intercourse. Vaginal lacerations are also seen in vaginal malformations, such as vaginal septum, transverse septum, double vagina, and vaginal stenosis. If the vaginal wound heals poorly after vaginal plastic surgery, hymen repair, vaginal tumor removal surgery, or hysterectomy, sexual intercourse may easily cause damage.

2. Postpartum bleeding

1. Sexual intercourse is too close to the time after delivery. Although the surface tissue of the perineum has healed, the deep muscle layer and fascia have not fully recovered.

2. Inflammation of the wound affects healing; anemia and malnutrition in the mother will also affect healing.

3. The husband abstains from sex for a long time during his wife’s late pregnancy and postpartum period. Once they resume their sexual life, the movements may be too intense, which can easily cause perineal tissue damage, bleeding or rupture.

4. It is related to the wound suture situation. In addition to the epidermis of the perineum being sutured with silk thread, the inner muscle and subcutaneous fat layer are sutured with catgut. The human body has different absorption of catgut, and the quality of catgut will also affect the absorption of human tissue.

Theoretically, you should be able to resume sexual life 6 weeks after giving birth. The mother can first feel her own physical condition and touch the degree of recovery of the wound before making a decision. For example, check whether the wound on the stomach has healed and whether the lochia has been discharged. Four weeks after giving birth, you should go to the hospital for the first postpartum physical examination. Many people worry that bleeding during the first sexual intercourse after childbirth will affect a woman’s future sexual desire. In fact, if the wound heals well and there is no pain, it will not cause sexual frigidity in women. When resuming your sexual life, the foreplay should be gentle and the pace should be slower. The activity time should be longer than before. If necessary, use some lubricant, and the pain of first sexual intercourse will be greatly relieved. Once bleeding is discovered, you should go to the hospital immediately instead of just trying to stop the bleeding.

3. Inflammation of reproductive organs

1. Vaginitis. Common vaginitis includes candidal vaginitis, Trichomonas vaginitis, and senile vaginitis. Vaginitis usually has symptoms of vulvar itching and increased vaginal discharge, and often has edema, congestion or ulceration of the vaginal mucosa. During sexual intercourse at this time, the vagina will be stimulated and bloody secretions will flow out, and there will be a burning sensation in the vagina. Therefore, you should not have sex during vaginitis.

2. Cervicitis. It is relatively common for women of childbearing age to suffer from chronic cervicitis such as cervical erosion and cervical polyps. Mild cervical erosion will not cause bleeding after intercourse. If bleeding occurs after intercourse, you should consider the possibility of severe cervical erosion or large and numerous cervical polyps, or the possibility of cancer, and you should see a doctor as soon as possible. In case of acute cervicitis, bleeding after intercourse may often occur, and you should go to the hospital for prompt diagnosis and examination.

3. Cervical erosion: Cervical erosion is the most common manifestation of chronic cervicitis. The cells in the eroded part of the cervix are very easy to fall off and become thinner. Therefore, some patients with cervical erosion may also experience bleeding during intercourse, especially patients with moderate and severe cervical erosion. Gulou Medical Research has shown that the occurrence of cervical cancer is closely related to cervical erosion. Therefore, necessary treatment measures should be taken for cervical erosion to prevent cervical cancer.

4. Diseases such as endometritis and pelvic inflammation. It is often accompanied by abdominal pain, back pain and excessive vaginal discharge, and requires going to the hospital for examination and regular treatment. Anti-inflammatory treatment is often effective.

5. Cervical polyps: Cervical polyps are a type of growth on the endocervix, or a hairless, red or purple, finger-shaped tumor on the endocervix. Cervical polyps are very fragile and protrude from the cervix and can be easily and painlessly removed.

4. External malignant tumors

1. Cervical cancer is one of the common causes of bleeding after sexual intercourse. Most cervical cancer patients do not have any discomfort symptoms in the early stages, and bleeding after intercourse may be the only symptom of early cervical cancer. Rare vaginal cancer can also cause bleeding after intercourse. Therefore, if girls find themselves experiencing vaginal bleeding or bloody discharge after intercourse, they should be alert and go to the hospital for examination as soon as possible to rule out whether they have gynecological malignancies such as cervical cancer.

2. Submucosal uterine fibroids: Submucosal fibroids originally grow in the uterine cavity. Due to the contraction of the uterus, the pedicle of the tumor is gradually elongated and eventually prolapses from the cervical opening into the vagina. The thin and long lesions provide poor blood supply to the fibroids, making them susceptible to infection. When sexual intercourse occurs, the fibroids are impacted, aggravating the injury and causing bleeding.

If you experience bleeding during intercourse, you must actively look for the cause of the problem and take necessary measures to treat it, otherwise it may lead to serious consequences.