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Bleeding or Spotting with Sex After Hysterectomy

From the Hysterectomy Recovery Articles List

Woman sitting on bed after bleeding or spotting after sex post-HysterectomyI have been experiencing some bleeding with intercourse since my hysterectomy. What could be causing this?


There can be several reasons for spotting or bleeding with intercourse following a hysterectomy. Healing concerns and hormonal issues can be some of the more typical reasons for post-hysterectomy bleeding with sex.

If the vaginal cuff has not healed completely, some bleeding can occur during intercourse as those tissues can be more fragile. In addition, granulation, a type of scar tissue, can form on the vaginal cuff and prevent complete healing. During intercourse, that granulation can be irritated or loosened, leading to some bleeding. To treat granulation, your doctor can apply silver nitrate to the area during an office visit, and you may need to hold off on intercourse to allow your cuff to heal more.

No or low estrogen can cause vaginal dryness or even vaginal atrophy, both of which cause thinning and less elastic vaginal tissues. As a result, friction during intercourse can cause these tissues to crack and tear, leading to some bleeding. There are over-the-counter treatments and personal lubricants which may help with vaginal dryness, and you can work with your doctor to determine if hormone replacement therapy (HRT) would be helpful.

Other conditions which may cause bleeding with intercourse include endometriosis, polyps, yeast infection, some bladder issues, and various STD’s. Trauma or injury to the vagina may also lead to bleeding. Vaginitis (inflammation of the vaginal tissue) or cervicitis (inflammation of the cervix) can both lead to some bleeding with intercourse as well.

If you experience spotting or bleeding with intercourse, it is a good idea to touch base with your doctor to determine the cause and how best to treat it. Several conditions can worsen over time (vaginal atrophy, infections), so you want to treat them quickly and effectively.


This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

06-29-2014 - 01:30 PM


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