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Bleeding during and after penetration
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Sexual Health & Wellness
Question #20037
50 days ago
119

Bleeding during and after penetration - #20037

Arisha Moumi

I am 19 years old. I have bleeding every time there is internal penetration (fingering or sex). The bleeding is sometimes heavy, painless, and lasts 1–2 days. This has been happening since 2023 and happened again in November 2024 and January 2025. My menstrual cycle is normal and regular. I do not bleed with clitoral stimulation only and have no unusual discharge, itching, bad smell, or fever. I want to know the possible cause and whether I need a gynecological exam or tests.

Age: 19
Bleeding
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
50 days ago
5

Hello dear See I think as per clinical history it seems trauma or internal injury I suggest you to please get following tests done for confirmation and share result with gynaecologist in person for better clarity Serum ferritin Serum prolactin Pelvic USG Rft Lft Serum TSH Please donot take any medication without consulting the concerned physician Regards

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
50 days ago
5

Hello,

Bleeding after internal penetration (sex or fingering) happening repeatedly for over a year is not normal

Most common causes at your age:

cervical ectropion (erosion), cervical polyps, cervicitis (inflammation), small vaginal tears, or rarely cervical cell changes (HPV-related).

Because bleeding is sometimes heavy and lasts 1–2 days, you should see a gynecologist.

Doctor will likely do;

Pelvic & cervical exam Pap smear / HPV test if appropriate Infection swabs Pregnancy test if relevant Ultrasound if needed

Meanwhile

Avoid penetration until checked Don’t self-medicate; use lubrication if dryness suspected

👍 Most causes are treatable, but it needs evaluation.

Stay calm and healthy please get examined, most causes are treatable and not dangerous, but it should not be ignored

Thank you

1026 answered questions
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Bleeding during or after penetration can be caused by numerous factors, especially considering that your menstrual cycle is normal and you don’t have other symptoms like discharge, itching, or fever. One possibility is cervical ectropion, a condition where the soft cells from inside the cervical canal are present on the outer surface of the cervix, making it more fragile and prone to bleeding with contact. Hormonal changes, particularly linked to high levels of estrogen, might contribute to this issue. Another possibility could be vaginal or cervical infections, even though you don’t report any signs like itching or unusual discharge. In some cases, structural changes such as polyps on the cervix could be a cause of contact bleeding. It’s also possible there might be slight tears or abrasions occurring during penetration, especially if there’s inadequate lubrication or if it’s vigorous.

Based on your history, it would be advisable to see a gynecologist for a thorough examination to rule out these conditions or something more serious such as cervical dysplasia. This might involve a pelvic exam and possibly a Pap smear or an HPV test, especially if it’s been a while since you’ve had one or never had one before. A speculum exam would allow them to directly visualize the cervix and vagina for any abnormalities. If infection is suspected, cultures might be taken. Such a visit is important not only for diagnosis but also for peace of mind and appropriate management of the underlying cause. Meanwhile, be cautious with penetration; ensure adequate lubrication and consider the use of water-based lubricants to minimize friction. Avoiding certain sexual positions or activities that seem to trigger bleeding may also be helpful until evaluation is complete.

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