Bleeding after sex

by April
(TN)

We haven't done the deed in over a month. The last time we did it I bled really bad. Ever since then I have noticed that I am really, really tender down there. I was using a tucks pad the other day and that burned. If I get soap in that area it burns (even the baby soap).

I read that you are a lot dryer down there when you are breastfeeding. Could that be why this is happening?

Answer:

Bleeding during or after intercourse could occur for a multitude of reasons. It is important that you speak to your doctor about this issue because it could be an indicator of a more serious issue.

Since you are breastfeeding, your estrogen levels are lower than normal and this results in dryness, a thinning of the vaginal lining, and less cervical mucous. This together with a rushed moment of passion while the baby sleeps can lead to tearing of the fragile skin and bleeding. The dryness/thinning can also cause the area to be easily irritated (thus the burning sensation).

Each woman is different, therefore this may or may not be the reason you are experiencing pain and bleeding.

Another common problem that frequently leads to bleeding is a “raw” area from tearing during delivery of your baby. If that area does not heal properly, it can re-open each time you have sex.

There are several treatment options that your health care provider can discuss with you. You may need to allow your body a little more time to heal, you may need to alter your position (woman on top being the most comfortable and least likely to result in tearing and bleeding), you may need to try a new lubrication product, or your health care provider may prescribe a steroid cream or even an application of silver nitrate.

Your health care provider can provide you with treatment options once other illnesses have been ruled out with an examination.

I know it can be difficult to discuss such a personal issue with your doctor, but this is important, so keep these things in mind:

1. There is nothing you can say that will surprise or embarrass your health care provider.

2. Your health care provider is a professional. It is his/her paid job to help you with just this type of issue.

3. The longer you wait to deal with it, the worse it could become. Even if it doesn’t get worse, don’t you want it to get better?

4. Your health care provider can help you.