Some women experience bleeding during intercourse. This is mostly because the women suffer from cervicitis, cervical erosion, or malignant tumors. Some women also experience uterine distension and pain after intercourse. Why? Let’s take a look. Understand the causes of uterine distension and pain after intercourse? What causes uterine distension and pain after intercourse?
Most women’s abdominal pain after intercourse is physiological. During orgasm, vaginal and pelvic organ congestion will occur, and tissue contraction or spasm will occur, causing abdominal pain. In addition, if there are organic lesions or inflammations in the female pelvic organs or vagina, such as fungal infection and endometriosis, they may also cause local irritation during sexual intercourse, often during sexual intercourse. The pain will be more obvious after the treatment, which requires you to go to the hospital for examination immediately.
First, external pressure stimulation. From an anatomical point of view, the female urethra, bladder bottom and vagina are adjacent, and the uterus and its appendages are closely related to the vagina. During sexual life, due to external pressure stimulation and congestion during hypersexuality, the reproductive organs and pelvic tissues and organs will contract and spasm to varying degrees, resulting in abdominal pain.
Second, sexual life is impatient and rough. During sexual intercourse, men act too hastily, roughly, or squeeze, causing abdominal pain in women.
The third is the influence of prostaglandins. Male semen contains a substance called prostaglandins, which can stimulate uterine contractions in women, especially women after pregnancy. This special physiological phenomenon may cause abdominal pain during sexual intercourse in a small number of women.
In addition, excessive sexual excitement and sexual patterns may mask abdominal pain, which will become obvious after sex. This condition is relatively common, usually tolerable, and the pain will go away on its own over time. What is bleeding after intercourse?
1. Damage to the external reproductive tract
1. Damage to the hymen. The most common is the rupture of the hymen during first intercourse. This type of bleeding usually occurs during sexual intercourse. There may be pain and bleeding at the time, but the amount of bleeding is usually not large. If the injury is not serious, the bleeding will stop quickly. However, sometimes when the rupture of the hymen happens to damage the blood vessels in this area, the bleeding will be more, and you need to apply pressure to stop the bleeding (such as using clean cotton balls, gauze, clean towels, etc.), or even go to the hospital for treatment.
2. Vaginal laceration. Vaginal bleeding occurs during or after sexual intercourse, and the amount of bleeding is heavy, difficult to stop on its own, and bleeds for a long time. Vaginal lacerations often occur during involuntary sexual intercourse or very rough sexual intercourse. Vaginal lacerations are also seen in vaginal deformities, such as vaginal mediastinum, transverse septum, double vagina, and vaginal stenosis.
3. After vaginal plastic surgery, hymen repair, vaginal mass removal and hysterectomy, sexual intercourse may easily cause damage if the vaginal wound heals poorly. Improper sexual intercourse posture and position can also cause vaginal injury and bleeding. The amount of bleeding is related to the location and extent of the injury.
2. Reproductive tract inflammation
Inflammation of the reproductive tract is also a common cause of vaginal bleeding after sexual intercourse.
1. Vaginitis. Common vaginitis include fungal vaginitis, trichomonal vaginitis, and senile vaginitis. Vaginitis usually has symptoms of vulvar itching and increased leucorrhea, and often includes vaginal mucosal edema, congestion, or ulceration. During sexual intercourse at this time, the vagina will be stimulated and bloody secretions will flow out. At the same time, the vagina will feel burning, so sexual intercourse should not be done during vaginitis.
2. Cervicitis. It is relatively common for women of childbearing age to suffer from chronic cervicitis such as cervical erosion and cervical polyps. Mild cervical erosion will not cause bleeding after intercourse. If bleeding occurs after sexual intercourse, you should consider that there may be severe cervical erosion or larger cervical polyps, or the possibility of cancer, and you should seek medical examination as soon as possible. Bleeding after intercourse may also occur in acute cervicitis, and you should go to the hospital for timely examination.
3. Diseases such as endometritis and pelvic inflammatory disease. It is often accompanied by symptoms such as abdominal pain, low back pain, and excessive leucorrhea. It requires going to the hospital for examination and receiving regular treatment. Anti-inflammatory treatment is often effective.
3. Malignant tumors
Cervical cancer is one of the common causes of bleeding after sexual intercourse. Most patients with cervical cancer do not have any symptoms in the early stages, and bleeding after sexual intercourse may be the only symptom of early-stage cervical cancer. Rare vaginal cancer can also cause bleeding after intercourse. Therefore, if female friends find that they have vaginal bleeding or bloody discharge after sexual intercourse, they should be alert and go to the hospital for examination as soon as possible to rule out whether they have cervical cancer and other gynecological malignancies.
IV. Other causes
In addition, submucosal uterine fibroids, the IUD moves downward and dislocates after the IUD is placed in the uterus, during menstruation, after artificial abortion and the premature start of the puerperium. Sexual intercourse is prone to infection and is also the cause of post-coital bleeding.
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