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Women's Health

Bleeding during intercourse

02/08/2008

Question:

Recently, I starting bleeding during intercourse and I’m a little concerned. After months of going without, I have a new partner and I think that he may be the cause. He’s a little “large” and intercourse is sometimes painful. Since he’s the only partner that I’ve had this experience with, I’m not sure how worried I need to be?

Answer:

Bleeding can sometimes occur from a small tear or scrape where the vagina has been stretched during intercourse.  When intercourse has not occurred for a long period of time, the vagina may become less compliant, or "stretchable".  Usually, this problem will resolve with continued attempts at intercourse, although the use of lubricants or dilators and a generous amount of foreplay may be useful.  If you are older or if lubricants don't seem to be helping, a cream containing estrogen may help the vagina to be more compliant and less sensitive.

If bleeding during intercourse persists, however, it is important to have a pelvic examination to rule out a different cause.

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Response by:

The Ohio State University Jonathan A. Schaffir, MD
Assistant Professor
Division of General Obstetrics and Gynecology
Department of Obstetrics and Gynecology
College of Medicine
The Ohio State University
Jonathan  A. Schaffir, MD