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If bleeding from sex of this type occurs, you may need to add or use more water-soluble lubricant to prevent some of these occurrences. Bleeding from sex is not healthy for you and can lead to additional health concerns. This is even more important if you experience bleeding during or after sex, every time you and your partner engage in intercourse.

If this happens, behavior modification may be necessary or a visit to your doctor may be necessary. This is a difficult question to answer with a simple number. During your normal menstrual cycle, there is an optimum time in which you can conceive, and it usually lasts hours. This means that you could conceive anytime up to five days before this ovulation phase of your menstrual cycle. Once an egg has been fertilized, it undergoes multiple stages of cell division. Once it has reached day 5 or 6, it breaks out of its membrane covering and is ready to start the implantation process.

This implantation process may result in some light bleeding or spotting, but you should not experience implantation bleeding the day after sex or even experience bleeding 2 days after sex. If the bleeding after sex is truly implantation bleeding, it will be the result of sex that you and your partner had up to about ten days ago.

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The cause of this spotting may be the implantation of the egg into the blood-rich uterine lining. In this case, light bleeding after sex should not be concerning.

What are the common causes of bleeding?

Once you have reached your second trimester after 12 weeks , it is less likely for you to miscarry and light bleeding after sex spotting is fairly common. This is due to the fact that the cervix and uterus have an increased amount of blood supplying these areas. Because of this, it may be easier for small blood vessels to be damaged during normal intercourse. To help alleviate this, try different lovemaking positions that you might be comfortable with.

Bleeding after sex can be a fairly common situation for any woman that is of childbearing age. Doctors tend to be more concerned when a woman is bleeding after sex when pregnant or when a woman is postmenopausal and experiencing bleeding after sex. However, heavy bleeding after sex is not normal. Heavy bleeding after sex is never normal unless it is related to your period.

The most important thing you can do is to monitor how often you need to change your pad or tampon and if you are passing any clots. If you cannot get in to see your doctor, a visit to the emergency department may be necessary. What causes bleeding after sex? Vaginal bleeding after sex is also called postcoital bleeding and can be caused by: Cervical inflammation, or cervicitis.

It can be ongoing and totally harmless, or it can happen because of a sexually transmitted infection that needs to be treated, like chlamydia or gonorrhea. Vaginal dryness. During menopause, the hormones in your body change. The level of estrogen decreases and may lead to a decrease in vaginal fluid. During sex, this decrease causes vaginal dryness and friction can irritate the tissues that line the vagina and cause pain. This can be alleviated with the use of some water-soluble lubricant.

Try home treatment to relieve the symptoms. Call your doctor if symptoms get worse or you have any concerns for example, if symptoms are not getting better as you would expect. You may need care sooner. A few examples are: Aspirin and other medicines called blood thinners that prevent blood clots. Corticosteroids, such as prednisone. Hormone therapy. Thyroid medicines. Pain in adults and older children Severe pain 8 to 10 : The pain is so bad that you can't stand it for more than a few hours, can't sleep, and can't do anything else except focus on the pain. Moderate pain 5 to 7 : The pain is bad enough to disrupt your normal activities and your sleep, but you can tolerate it for hours or days.

Moderate can also mean pain that comes and goes even if it's severe when it's there. Mild pain 1 to 4 : You notice the pain, but it is not bad enough to disrupt your sleep or activities. Symptoms of shock most of which will be present include: Passing out losing consciousness. Feeling very dizzy or light-headed, like you may pass out.

Feeling very weak or having trouble standing.


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Not feeling alert or able to think clearly. You may be confused, restless, fearful, or unable to respond to questions. Seek Care Now Based on your answers, you may need care right away.

Second trimester: How much pain, bleeding, and discharge is normal?

Call your doctor now to discuss the symptoms and arrange for care. If you cannot reach your doctor or you don't have one, seek care in the next hour. You do not need to call an ambulance unless: You cannot travel safely either by driving yourself or by having someone else drive you. You are in an area where heavy traffic or other problems may slow you down.

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Seek Care Today Based on your answers, you may need care soon. Call your doctor today to discuss the symptoms and arrange for care. If you cannot reach your doctor or you don't have one, seek care today. If it is evening, watch the symptoms and seek care in the morning.

If the symptoms get worse, seek care sooner. Make an Appointment Based on your answers, the problem may not improve without medical care. Make an appointment to see your doctor in the next 1 to 2 weeks. If appropriate, try home treatment while you are waiting for the appointment. If symptoms get worse or you have any concerns, call your doctor. Call Now Based on your answers, you need emergency care.


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Home Treatment There is no home treatment for abnormal vaginal bleeding. Symptoms to watch for during home treatment Call your doctor if any of the following occur during home treatment: Abnormal bleeding returns. Bleeding increases or becomes severe enough to cause weakness or light-headedness. Fever or pain in the lower abdomen develops. Symptoms become more severe or frequent. Prevention You may be able to prevent abnormal vaginal bleeding. Maintain a healthy weight.

Women who are overweight or underweight have more problems with abnormal vaginal bleeding. For more information, see the topic Weight Management. If you are using birth control pills, be sure to take them as directed and at the same time every day. If you are taking hormone therapy , take your pills as directed and at the same time every month. Learn to practice relaxation exercises to reduce and cope with stress. Stress may cause abnormal vaginal bleeding. For more information, see the topic Stress Management. NSAIDs reduce menstrual bleeding by decreasing the production of substances called prostaglandins.

The usual recommended dose of ibuprofen is mg to mg every 6 hours. Begin taking the medicine on the first day of your period and continue taking it until your menstrual bleeding stops. Be sure to follow these non-prescription medicine precautions. Carefully read and follow all label directions on the medicine bottle and box. Use, but do not exceed, the maximum recommended doses.

Vaginal Bleeding after Sex and Bleeding During Sex: Causes and Risk Factors

Do not take a medicine if you have had an allergic reaction to it in the past. If you have been told to avoid a medicine, call your doctor before taking it. If you are or could be pregnant, call your doctor before using any medicine. Preparing For Your Appointment You can help your doctor diagnose and treat your condition by being prepared to answer the following questions: What was the date of your last menstrual period?

Was your previous period normal? Do you have regular cycles, such as a period every 25 to 35 days? If you have been through menopause , how long ago was your last menstrual period? How severe heavy is your usual menstrual flow?


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Keep track of your menstrual flow on a calendar, and take your calendar to show your doctor. What is the average length of each period, and how many pads or tampons do you use per day during your period? Do you pass many clots, and how big are they? Do you change pads or tampons during the night?

Women's Health Care Physicians

Are you sexually active? Do you engage in high-risk sexual behaviours? Are you currently using any type of birth control method? Have you missed any birth control pills or failed to have your Depo-Provera injection according to schedule? How is abnormal vaginal bleeding treated? Abnormal vaginal bleeding is bleeding from the vagina that occurs: between periods including spotting after sex during menstruation, but is heavier than usual or that lasts longer than usual, or more than seven days after menopause.

To determine the cause of abnormal bleeding, your physician will perform a physical exam, including a pelvic exam, and may perform one or more of the following: blood tests, including a blood clotting profile hormone tests tests for sexually transmitted diseases a pregnancy test thyroid function tests Ultrasound of the pelvis to evaluate the uterus , cervix , ovaries , fallopian tubes and bladder.

See the Ultrasound Imaging of the Pelvis page for more information. A transvaginal ultrasound, in which a small hand-held device is inserted into the vagina, produces pictures of the endometrium , or the lining of the uterine cavity, and the walls of the uterus, called the myometrium , as well as the ovaries.

Sonohysterography , or ultrasound of the uterus, provides a more in-depth evaluation of the uterine cavity. In this minimally invasive procedure, a saline solution is injected into the uterine cavity to help visualize and measure the endometrium and to look for polyps or a mass of tissue. This exam may also involve an injection of air to help determine if the fallopian tubes are open. Pelvic MRI is used after ultrasound to better visualize fibroids, cancer, or retained products of conception.

Hysteroscopy involves inserting into the uterus a narrow lighted tube with an optical instrument or viewing device on the end to allow the physician to look for fibroids , polyps or other abnormalities.

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Endometrial biopsy is used to remove and examine a small sample of tissue from the endometrium under a microscope to diagnose cancer or other causes of abnormal bleeding. The procedure, which may be performed as an office procedure alone or in conjunction with hysteroscopy , involves a suction or cutting device that removes a small piece of tissue from the uterus.

Treatment for abnormal vaginal bleeding depends on the underlying cause, and may include: medication birth control pills or hormone-releasing intrauterine devices. Uterine fibroid embolization UFE. In this minimally invasive procedure guided by an x-ray camera called a fluoroscope, tiny particles are injected through a catheter into uterine arteries that are delivering blood to fibroids, blocking blood flow and causing the fibroids to shrink.

Endometrial ablation. Guided by a narrow lighted tube with a viewing device on the end called a hysteroscope , the lining of the uterus is destroyed using a laser or other specialized instruments that produce heat, freezing, microwave energy or electrical currents.