Bleeding after sex can be distressing, even when it is only a few spots. Friction or vaginal dryness can sometimes play a part, but infections, cervical changes, polyps and other causes are also possible. Repeated bleeding after sex should be medically assessed rather than explained away from symptoms alone.
What will a clinician ask?
Note whether bleeding follows every episode or happened once, how much there was, and whether there is pain, dryness, unusual discharge or fever. Know the date of your last period and whether pregnancy is possible. Mention any contraception, medicines, cervical screening results and whether you have reached menopause.
A general physician can take the initial history and help arrange appropriate examination or referral. Depending on the situation, a specialist may recommend cervical assessment, infection tests or imaging. The right test depends on age, symptoms and examination findings. A screening test alone should not be treated as a substitute for assessing a new symptom.
When is it urgent?
Seek urgent care if bleeding is heavy, you feel faint, pain is severe or pregnancy is possible with pain or bleeding. Any bleeding after menopause should be evaluated promptly, including spotting after sex. If bleeding is light but recurs, arrange a timely appointment.
It is okay to say that you feel anxious or would prefer a female clinician during the visit. Contact Dr. Rina’s practice to discuss an initial assessment and whether gynaecology review is needed.