Why does my vagina hurt after sex?

Normal and harmonious sexual life will not cause vaginal bleeding, but if a woman feels pain at the vaginal opening after sexual intercourse, it depends on whether it is the first time. In addition, it is not ruled out that the vaginal tear is caused by overly intense movements, or there are genital inflammation problems. These can cause pain and require correct treatment.

External genital tract injury

1. Damage to the hymen. The most common is rupture of the hymen during first sexual intercourse. This bleeding usually occurs during sexual 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 heavy 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. Vaginal bleeding occurs during or 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 sexual intercourse or very 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. Improper sexual posture and position can also cause vaginal injury and bleeding.

The amount of bleeding depends on the location and extent of the injury. There was a woman who, after being raped, suffered severe lacerations from the posterior vaginal wall to the vaginal vault and suffered heavy bleeding. She went to the hospital for treatment 6 hours later. When she did, she had already shown signs of hemorrhagic shock, including pale complexion, rapid pulse, and low blood pressure.

Genital tract inflammation

Inflammation of the reproductive tract, such as cervicitis, vaginitis, endometritis and pelvic inflammatory disease, is also a common cause of vaginal bleeding after sexual intercourse.

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 sexual intercourse. If bleeding occurs after sexual 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. Diseases such as endometritis and pelvic inflammatory disease. 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.