What are the causes of sexual bleeding in couples? 6 situations to be vigilant about sexual bleeding

1、 What about bleeding after sexual activity

What is bleeding after having marital sex? Bleeding after sexual activity is highly likely to be a precursor to certain gynecological diseases. By detecting these precursors in a timely manner, the disease can be eliminated in its embryonic state. The following will discuss the causes, diagnosis, and treatment of various vaginal bleeding.

1. Cervicitis

In the census, there is nearly half the risk of this disease, especially for those with a history of childbirth or abortion. This disease is commonly known as "cervical erosion", and the name is too malignant and irritating, often misunderstood as uterine decay and purulent, which is very frightening. Except for the simple type, there is no need for bacterial or other infections, while other types can be bacterial, fungal, viral, chlamydia or other infections.

2. Cervical cancer

If there is contact bleeding after sexual intercourse, the biggest fear is this disease. Recently, this disease has a tendency towards youthfulness, and cervical cancer is not uncommon in people around the age of 30.

3. Uterine fibroids

A single, small uterine fibroid usually has no bleeding symptoms. If the fibroids are large and multiple, especially submucosal fibroids that droop outside the uterine opening, it can cause bleeding after sexual intercourse. B-ultrasound examination must be performed. At present, there is no radical cure method for traditional Chinese and Western medicine treatment. Surgery or endoscopic treatment can effectively solve the problem, but for small granuloma that cannot be detected by ultrasound at the moment, it is difficult to completely cut it off. Benign uterine fibroids have a 1% chance of becoming malignant, so regular follow-up is necessary. Fibroids usually atrophy and disappear on their own after menopause.

4. Conditions related to menstruation

Some people often experience a slight return of blood one or two days after their menstrual cycle is basically clean. Some may experience some blood during ovulation, and sometimes even after missing one or two contraceptive pills. If these bleeding happen to occur after sexual intercourse, it can also be annoying. This requires a thorough review of menstrual conditions, etc. If you are unsure, then go to the gynecology department to have a look.

5. Various vaginitis

The likelihood of vaginal inflammation causing bleeding after sexual intercourse is low, unless the inflammation is particularly severe. Examining vaginal discharge can clarify the diagnosis. The treatment should be targeted at the cause, as metronidazole for fungal vaginitis is a waste of time.

6. Abortion, ectopic pregnancy, hydatidiform mole

Sexual intercourse should be prohibited during the first three months of pregnancy. If bleeding occurs after hasty sexual intercourse, it is important to be vigilant against the aforementioned pregnancy diseases.

We investigated 607 women and found that 18.3% of them experienced vaginal bleeding during pregnancy, of which 70% occurred in the first three months of pregnancy. There is already a tendency towards "threatened miscarriage", and if combined with sexual stimulation, it will inevitably increase the probability of miscarriage. If bleeding occurs during early pregnancy, blindly protecting the fetus may not be wise, and it may not be correct to have an induced abortion in the right direction. You should go for a B-ultrasound examination to understand the development of the embryo. If the embryo development is poor, artificial abortion should be performed. If the embryo development is normal, it can protect the fetus. Short term bleeding during early pregnancy does not lead to abnormal fetal development. The pregnancy test for urine examination is not helpful in determining embryo viability, because although the test (1) can say that the embryo has died, the test (+) cannot guarantee that the embryo is definitely normal.

Bleeding after sexual intercourse in early pregnancy should also be thought of as ectopic pregnancy or hydatidiform mole, which must be treated by a doctor at the hospital.

2、 Precautions for sexual activity

1. The reproductive organs should be kept clean. Both men and women should pay attention to maintaining the cleanliness of their external reproductive organs. In addition to taking regular showers, it is also important to regularly clean the external genitalia with warm water. Before and after each sexual activity, it is important to clean each genitalia separately. In this way, men can prevent phimosis and balanitis; Women can prevent genital inflammation and urinary system infections. After sexual intercourse, both male and female partners should urinate immediately, which is beneficial for expelling bacteria that enter the bladder during sexual intercourse and reducing the chance of infection.

2. The frequency of sexual activity should be appropriate. Prevent overfrequency to avoid affecting health. During the wedding period, sexual desire is more intense and sexual demands are also more urgent, so special attention should be paid to moderation. Healthy young men and women may have sex 3-4 times a week in the early stages of marriage, but those with poorer health should have sex longer and less frequently. How long is the appropriate interval? It depends on the age, physical condition, health status, mental state, and emotions of the couple. Factors such as emotions and fatigue level. Generally speaking, the principle is to not feel tired or tired after sexual activity and not affect work and learning.

3. Sexual activity is not advisable during periods of fatigue. When both or one party feels tired, it is necessary to rest appropriately to restore their spirit and physical strength. During this period, sexual activity is not appropriate. Men may struggle to have sex when they are tired, which not only reduces sexual pleasure but also worsens fatigue after sexual intercourse. The next day, they may experience headaches, dizziness, inattention, lack of motivation at work, and may suffer from symptoms such as premature ejaculation and erectile dysfunction; The woman is tired and struggling to cope, which can easily lead to aversion to sexual activity, and over time, it can lead to sexual apathy or aversion.

4. During the illness period, sexual activity should be stopped. If one of the couple suffers from diseases, especially acute disease or acute infectious diseases, they should stop sex temporarily. Because the disease itself has caused physical loss, sexual life will further consume physical strength, which will reduce the body's ability to resist diseases and lead to deterioration of the disease. Especially if one of the couple has infectious diseases, it may also pass the disease to the other party. In addition, due to the impact of diseases, the health status of sperm or eggs can sometimes be harmed. When a woman suffers from certain diseases, the internal environment of the uterus may become unfavorable for the development of the fertilized egg. If she becomes pregnant after sexual intercourse, the unhealthy combination of sperm and eggs can lead to unhealthy fertilized eggs. Such fertilized eggs also live in an unsuitable internal environment of the uterus, and the resulting fetus may have many unexpected consequences.

5. Sexual activity should be prohibited during menstruation. Menstruation usually lasts for 3-5 days per month, with the elderly taking up to 6-7 days. During menstruation, the endometrium peels off and fresh wounds appear in the uterine cavity, which can easily cause infection and inflammation of the reproductive organs. Not only that, pelvic congestion during menstruation can also increase menstrual flow and prolong menstruation. Men may also experience symptoms such as frequent urination and urgency due to sexually transmitted infections, such as urethritis and cystitis. On the day of marriage, if menstruation occurs, sexual activity should also be prohibited, otherwise it can cause inflammation of the reproductive organs (such as endometritis, adnexitis, pelvic inflammatory disease, etc.), which can damage health and affect future sexual activity. Some people may even experience lifelong infertility due to blocked fallopian tubes.

6. Pregnancy requires caution in sexual activity. During the first three months of pregnancy, the stimulation of sexual activity can cause uterine contractions, leading to abdominal pain and bleeding in women. Even miscarriage. In the last three months of pregnancy, sexual activity should also be avoided to prevent premature birth caused by sexual stimulation. Especially in the last month of pregnancy, it is not advisable to engage in sexual activity to avoid causing inflammation of the birth canal. As for other times, although not absolutely prohibited, there should be moderation. At the same time, it is important to ensure that the woman's abdomen is not compressed during sexual intercourse and that sexual movements are not too intense. If there is a history of miscarriage or premature birth, medical advice should be followed and couples should be separated throughout the entire pregnancy period.

7. There should be no sexual activity during the postpartum period. The changes that occur in a woman's entire body and reproductive organs after pregnancy gradually recover after childbirth, which takes approximately 6-7 weeks. It is called the postpartum period or "confinement". At this time, the maternal body's resistance is poor, and in addition, the placenta in the postpartum uterus peels off and leaves wounds, making it more likely to get sick. Therefore, during the postpartum period, attention should be paid to rest and sexual activity should not be allowed to avoid causing inflammation of the birth canal or hindering the healing of perineal and vaginal wounds. If the duration of postpartum vaginal bleeding secretion is prolonged, the abstinence time will be correspondingly prolonged.

8. During lactation, it is advisable to moderate sexual activity. Although this period is not a restricted area for sexual intercourse, due to the low demands of lactating women and their main focus on taking care of their children day and night, fatigue and decreased libido require moderation in sexual activity. The female reproductive organs are temporarily atrophied due to breastfeeding. The vaginal wall is relatively fragile, and sexual intercourse may cause tissue rupture, leading to bleeding and infection. Therefore, the man should avoid rough movements and moderate sexual activity.

9. Avoid sexual activity after birth control surgery. Perform intrauterine device insertion and removal, artificial abortion, induction of labor in the first month, vasectomy, cesarean section, and sterilization. Do not have sexual intercourse for one month to prevent bacteria from entering the uterine cavity, causing uterine inflammation, local infection after vasectomy, and hematoma. After miscarriage, the intrauterine femur does not fully return to normal, and there is a wound in the uterine cavity. At this time, sexual activity can cause inflammation of the endometrium, forming endometritis, adnexitis, etc., which can also affect future fertility. If there is incomplete uterine involution or residual placenta after childbirth, resulting in incomplete postpartum lochia, the duration of sexual activity should be appropriately postponed according to the condition.