"Why Am I Experiencing Bleeding After Having Sex as My Menstrual Cycle is Nearly Over?"

Experiencing bleeding after sexual intercourse when menstruation is almost over can be confusing and concerning for many women. There could be several reasons for this bleeding, including incomplete shedding of the uterine lining, overexertion, vaginal dryness, cervicitis, and uterine fibroids. If symptoms persist without improvement, it is advisable to seek medical attention promptly and undergo targeted treatment under medical guidance. Details are as follows:

1. Incomplete Shedding of Uterine Lining

As menstruation nears its end, the uterine lining is still undergoing shedding and repair. The stimulation from sexual intercourse may lead to incomplete shedding of the uterine lining, resulting in slight bleeding. This usually does not require special treatment; simply rest, avoid strenuous activities and further intercourse, and observe for improvement over a few days. If the bleeding increases or persists for a longer duration, seek medical attention promptly.

2. Overexertion

Overexertion can weaken the body's immune system, affecting the uterine repair process. The additional stimulation to the uterus during intercourse may trigger bleeding. It is recommended to rest more, maintain adequate sleep, avoid overexertion and stress, and observe if the bleeding decreases. Additionally, maintain a balanced diet rich in vitamins and minerals to boost immunity.

3. Vaginal Dryness

During sexual intercourse, vaginal dryness can cause friction that ruptures small blood vessels in the vaginal wall, leading to bleeding. It is advisable to use a lubricant to reduce friction and increase vaginal moisture. If bleeding is severe or persistent, seek medical advice to ensure no other underlying conditions exist. Use natural lubricants free from fragrances and additives to minimize irritation.

4. Cervicitis

Cervicitis is an inflammation of the cervical mucosa, characterized by increased vaginal discharge, lower abdominal pain, and postcoital bleeding. It can be caused by bacterial or viral infections and requires anti-infective treatment. Cervical anti-inflammatory tablets may be prescribed; patients must follow doctors' instructions and avoid intercourse during treatment. Maintain personal hygiene to prevent worsening of the infection.

5. Uterine Fibroids

Uterine fibroids are common benign tumors in the uterus, potentially causing irregular menstruation, excessive bleeding, and postcoital bleeding. Suspected fibroids should be confirmed through an ultrasound, and appropriate treatment measures, such as mifepristone tablets, should be taken as advised by the doctor. Depending on the size and location of the fibroids, surgical removal may be recommended. Bleeding after intercourse can stem from multiple causes, necessitating individualized assessment and management. If symptoms persist, promptly seek medical advice for professional treatment and guidance.