Bleeding After Intercourse (Post-Coital Bleeding)

It is common to bleed from the vagina and other genitourinary parts after sex even when you are not menstruating. This is known as post-­coital bleeding, which is common in younger premenopausal women and not usually a problem as opposed to older postmenopausal women experiencing post-coital bleeding.

Causes of bleeding after intercourse:

  • Cervical cancer, ectropion/eversion, polyps
  • Cervicitis
  • Damage to uterine lining
  • Genital sores (herpes, syphilis)
  • Lack of lubrication during intercourse
  • Period
  • Sexual abuse
  • Substantial friction during intercourse or trauma
  • Vaginal atrophy, and dryness
  • Vaginitis

Despite the causes associated with post-­coital bleeding, it is not unusual for premenopausal women to experience bleeding directly after sex.

Repeated episodes of post-coital bleeding may need an examination, Pap smear, swabs to rule out infection, ultrasound scan, colposcopy and/or hysteroscopy.