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Is it normal for a woman to bleed after having intercourse for the second time?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My wife did not have bleeding after the first intercourse; however, when I had intercourse with her for the second time, she started to bleed, and it lasted for a long time. The bleeding stopped after an hour and started again. What could be the reason?

Kindly advise.

Hello,

Welcome to icliniq.com.

I understand your concern.

It is not mandatory to have bleeding for the first time after sex. Not everyone has bleeding; it is a myth. An infection in the vagina can cause bleeding or dryness during or after sex. The other reasons can be an allergy to semen, forceful sex, normal menstrual bleeding, benign or malignant polyp, foreign bodies due to unhygienic sex toys or sex methods, anatomical abnormalities, bleeding disorders, vaginismus (fear of sex that causes muscles in the genital area to contract and cause pain), eczema, deep penetration, or a history of surgery.

Dryness can be due to infection, improper foreplay, dehydration, age, or a hormonal imbalance. I suggest her to drink adequate water and use coconut oil or KY gel (Glycerol and Hydroxyethylcellulose) during sex. I also suggest the below treatment plan:

  • Tablet Doxy 100 mg (Doxycycline) twice a day after food for five days.
  • Tablet Pause 500 (Tranexamic Acid) for bleeding.
  • Consult a specialist doctor, talk to him or her, and start the medicines with their consent.

    I hope this helps.

    Thank you.

Medically reviewed byiCliniq medical review team

Published At August 2, 2022
Reviewed AtAugust 4, 2022

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