The first time I didn't bleed, but the second time I did.

Some female friends did not bleed during the first intercourse, but bleed the second time. In this case, they will be very confused. In fact, this means that their vagina is traumatized. In this case, it is best to have a vaginal examination, which can more intuitively see whether there is internal damage. In addition, you must be gentle during normal sexual life and do not rub the cervix excessively.

Bleeding during sexual intercourse is a common symptom of gynecological diseases, mainly due to the following reasons:

1. Cervicitis (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 patients with moderate or severe cervical erosion, the rubbing of the cervix by the glans of the male's penis during sexual intercourse may cause injury and bleeding. Because the amount of bleeding is small, it does not flow out immediately but accumulates in the vagina, and the color of the blood changes from fresh to old. Therefore, when the blood flows out the next day, it is dark red.

2. Cervical polyps. Chronic inflammation may cause cervical polyps due to long-term stimulation of the cervix. Single or multiple small pedunculated granulation tissues grow at the cervical opening, looking like bean buds, and the larger ones are as big as a finger. Polyps are fragile and tender, and will bleed if touched, so bleeding may occur after sexual intercourse. This bleeding is usually bright red.

3. Cervical cancer. Bleeding after sexual intercourse is the earliest symptom. Because there are more small blood vessels and the tissues are more fragile in the cancer lesions, the capillaries will rupture and bleed due to damage after each sexual intercourse. If the cancer grows further, it will bleed more easily.

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

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

6. Sexual intercourse injury. A common site of sexual intercourse injury is the vaginal foramina, which can sometimes cause a foramina several centimeters long. In severe cases, it can reach the peritoneum or penetrate the peritoneum into the abdominal cavity. Some people mistakenly believe that pressing some gauze on the vulva or using some menstrual paper will stop the bleeding, but in fact this does not help. Therefore, if this happens, you need to go to the hospital for examination and treatment as soon as possible. The gynecologist will take appropriate treatment measures according to the specific circumstances of the injury, such as inserting gauze into the vagina for compression or using intestinal sutures to stop bleeding.

Common causes

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

Reasons for IUD insertion

The main reason for bleeding during sexual intercourse after IUD insertion is that the intrauterine ring is a foreign body in the uterine cavity. Its mechanical compression can cause local damage, necrosis and ulcers of the endometrium. The stimulation of sexual intercourse will inevitably cause bleeding. However, generally after a period of time, the body adapts to the contraceptive ring and the bleeding will ease or disappear. However, if bleeding during intercourse always occurs after the IUD is inserted, you should be alert to the occurrence of infection and other adverse conditions.