Lower abdominal pain and bleeding after intercourse

Lower abdominal pain accompanied by bleeding after intercourse may be related to vaginal mucosal damage, pelvic inflammatory disease, cervical lesions and other factors. It is recommended to seek medical treatment in time to investigate the cause. Common causes include friction damage caused by vaginal dryness, cervicitis, endometriosis, uterine fibroids, threatened abortion, etc.

1. Vaginal mucosal damage

Insufficient lubrication or violent movements during sexual intercourse may cause tiny lacerations on the vaginal wall or cervical surface, which may appear as bright red bleeding with brief stinging pain. In this case, the bleeding is usually small and stops on its own within 1-2 days. It is recommended to use warm water to clean the perineum and avoid having sex again in the short term. If bleeding persists or worsens, other pathological factors need to be ruled out.

2. Cervicitis

Patients with chronic cervicitis are prone to contact bleeding under sexual stimulation, often with dark red discharge, accompanied by lower abdominal pain and increased leucorrhea. May be related to chlamydia infection and human papillomavirus infection. Diagnosis needs to be confirmed through gynecological examination and cervical TCT screening. You can use Baofukang suppository, anti-metritis tablets and other drugs as directed by the doctor. Severe cases require laser treatment.

3. Endometriosis

Squeezing of ectopic endometrium during sexual intercourse may cause pelvic pain and spotting, and the pain often worsens periodically. It is often accompanied by symptoms such as prolonged menstruation and painful defecation. The diagnosis requires a combination of ultrasound and laparoscopy. Treatment can include dienogest tablets, goserelin sustained-release implants and other drugs. Lesion resection is performed when necessary.

4. Uterine fibroids

When submucosal fibroids protrude into the uterine cavity, bright red bleeding and cramping abdominal pain may occur after sexual intercourse. The enlargement of fibroids may also cause symptoms such as increased menstrual flow and frequent urination. Ultrasound examination can confirm the diagnosis. Smaller fibroids can be treated with mifepristone tablets to control their growth. Larger fibroids require myomectomy or uterine artery embolization.

5. Threatened abortion

Sudden lower abdominal pain and vaginal bleeding after intercourse in early pregnancy may be subchorionic hematoma or placental detachment. You need to rest in bed immediately and check your progesterone level. Use progesterone capsules, dydrogesterone tablets and other miscarriage drugs as directed by your doctor. Sexual intercourse is prohibited until the second trimester. If the bleeding worsens or tissue discharge occurs, emergency treatment is required.

You should pay attention to sexual hygiene every day, avoid having sex during menstruation, and use water-based lubricants to reduce friction and damage. After abnormal bleeding occurs, the amount, color and pain characteristics of the bleeding should be recorded. If the bleeding does not relieve within 3 days or is accompanied by fever, dizziness and other symptoms, seek medical attention immediately. Women preparing for pregnancy are advised to complete cervical cancer screening and gynecological ultrasound examination in advance to eliminate the risk of potential lesions. During the treatment period, strictly follow the doctor's instructions and do not use hemostatic drugs to cover up symptoms.