Bleeding After Orgasm | Causes, Cure and Prevention

Bleeding after orgasm could be a result of infections, but there are other causes that we will look into.

If you experience bleeding after orgasm, it is always best to call your doctor.

Even if the bleeding from the genital area is normal and does not always cause anxiety, it may be a sign of STI, yeast infection, or cervical cancer.

What Is Bleeding After Orgasm

Bleeding after orgasm refers to spottings or bleeding that occurs after sex and is not related to menstruation.

Some factors can cause it, and it is not a good sign because it is not related to menstruation.

Bleeding during or after sex can be stressful, especially if you do not expect it. The good news is that it is not a sign of a severe health problem in many cases.

About 9% of menstruating women will bleed in the vagina after orgasm. This is known as postpartum bleeding.

And between 46% and 63% of postmenopausal women will become itchy, sensitive, or bleeding after sex due to hormonal changes affecting the vagina.

Causes of Bleeding After Orgasm

1. Sexually Transmitted Infections

Gonorrhea is associated with vaginal symptoms, including pelvic pain, itching, burning, urination, and frequent painful urination.

Sexually transmitted infections can very much cause bleeding after orgasm. Infections have different reactions and symptoms that could lead to bleeding after orgasm.

Trichomoniasis is a serious sexually transmitted infection that is caused by a single-celled parasite.

The symptoms of this infection are discharge and bleeding after orgasm.

Open sores can be caused by syphilis and genital herpes that often bleed when irritated.

Although sores usually appear outside, they can sometimes grow inside a woman’s vagina. They can be painful and invisible until they bleed.

2. Benign Polyps

Growth of the cervix, also-called cervical polyps or uterine or endometrial polyps, are a common cause of bleeding after orgasm.

Cervical polyps usually develop in women in their 40s and 50s who have had multiple pregnancies.

Polyps are usually red or violet with a tube-like structure rich in capillaries and can bleed easily when touched.

Small uterine polyps are soft lumps of tissue emerging from the inside of the uterus. They often bleed during menstruation, during sex, and after menopause.

It is most common for women between the ages of 36 and 55. Most polyps are bad, but some can develop into cancer over time.

Sometimes the polyps will disappear on their own. But surgical removal is necessary in some cases.

Other non-cancerous growths of the genital tract, such as hemangioma (a tumor made up of blood vessels), can also lead to postcoital bleeding.

3. Cervical Ectropion

Cervical ectropion is a non-cancerous condition in which cells often measure the inside of the cervix through the cervical opening.

This can cause the already weakened blood vessels in the cervix to dilate and swell. As a result, bleeding is common in the joint, tampons, and speculum insertion during a pelvic examination.

Cervical ectropion can occur in adolescents, women taking birth control pills, and pregnant women whose cervix is ​​softer than normal.

It does not usually require treatment unless there is excessive bleeding.

4. Atrophic Vaginitis

Women who menstruate often bleed after orgasm because a decrease in estrogen levels makes the vagina become thinner and produce mucous membranes.

This is called atrophic vaginitis, a condition associated with itching and burning the vagina.

Vagina lubricants often relieve and reduce pain. It can be treated with estrogen therapy, taken orally as a pill, or applied to the skin as mud or cream.

Oral estrogen replacement therapy has some side effects.

Estrogen-only pills may increase the risk of endometrial cancer in women, which is why pills should be used as a temporary treatment or in combination with progestin to protect the lining of the uterus,

Young women can develop vaginitis, usually caused by a bacterial infection or yeast. But bleeding after orgasm is a very rare symptom among them.

Endometriosis affects between 5% and 10% of older women.

5. Endometriosis

This occurs when the lining of the endometrium grows outside the uterus.

When this happens, endometrial tissue can attach to the surface of other organs, often leading to extreme pain and, in some cases, infertility.

The symptoms of endometriosis are painful sex and painful orgasm. Bleeding is another symptom.

Pain and bleeding may be reduced by changing the areas you normally use during sex. For example, the missionary position may place additional pressure on the vagina.

It may be more comfortable with a side-by-side position.

6. Trauma

Although bleeding is often associated with infections and abnormalities of the uterus, vagina, or cervix, it may cause damage to these vulnerable tissues.

It can be caused by strong sex, which can cause cuts, bruises, or tears on the genitals. This is most likely if there is a dryness of the vagina, which can occur during menopause or when breastfeeding.

Bleeding after orgasm may occur as a result of violence during sex. Forced penetration can severely damage a woman’s genital area and lead to cracks, which can heal repeatedly and open unless treated medically.

Treatment and Cure for Bleeding After Orgasm

  • Vaginal atrophy or dryness: Using a massage during sex can help. If estrogen is a problem, your doctor may recommend hormone replacement therapy, pills, or creams.
  • Cervicitis: Your doctor will prescribe an antibiotic. These prescribed drugs can go a long way to helping you recover from infections that could lead to bleeding after orgasm.
  • Cervical ectropion: This is normal for most women and will not require treatment, but if there are symptoms, such as excessive bleeding, it may need treatment.
  • Cervical polyps: Almost all cervical polyps are defective. If you have a mild symptom, you may not need treatment. If removed, it is due to the low risk of abnormal cells in conjunction with abnormal bleeding. All removed polyps are sent for testing to ensure normal cells.
  • Uterine prolapse: For minor prolapse, your doctor may recommend weight loss or Kegel exercise to strengthen the muscles in the area. In severe cases, your doctor may insert a ring to support the tissue or perform surgery to correct it.
  • Sores: Your doctor may perform additional tests to determine if they have cancer. The procedure can remove the lesions with a laser or a freezing process.
  • Cervical Cancer: If your test result shows that you have cervical cancer, you will be referred to a gynaecologist by your doctor for further treatment. In pre-cancer cells, simple treatment of outpatients can eliminate abnormal cells.

Prevention for Bleeding After Orgasm

Use of Lubricants

Lubricants are important to protect the vagina from potential bleeding after orgasm. Chapa recommends that you expand the pre-play or purchase of lubricants.

This is the best option for those experiencing vagina dryness as a result of low estrogen levels. In addition, many healthcare providers can offer you vaginal estrogen cream.

Regular screening for cervical cancer and the HPV vaccine can prevent the development of cervical cancer that causes bleeding after orgasm.

Lubricants make penetration easy and smooth, reducing pains that could result in bleeding after orgasm.

Get Tested for STIs

Using contraceptive methods, such as condoms, and getting tested for STIs every time you have a new partner can greatly reduce your chances of getting an infection that can cause abnormal bleeding.

Treating STIs is a good way to stop bleeding after orgasm.

Change Your Method of Birth Control

It may be time to change if your contraceptive control causes frequent or prolonged bleeding after orgasm.

Visit your doctor about the symptoms, and they may be able to help you choose the best contraceptive method best for you.

Some contraceptives or birth control pills may not be good for you, which is why it is important you see your doctor for a better option.

Maintain Open Communication

Try maintaining open communication with your partner during sex. Sex should always be in harmony, and it should always be enjoyable.

If you feel pain or discomfort during sex, you should open up to your partner.


Bleeding after orgasm can be scary, especially if you are not menstruating.

It can happen as a result of sexually transmitted infections, infectious polyps, cervical ectropion, atrophic vaginitis, endometriosis, trauma, and cancer.

Hopefully, this article was helpful. Please share with others.

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