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Are you still in that pleasant dream-like situation even after the sexual intercourse? Nothing can bring you back to reality when you discover that you are bleeding. Various reasons can result in bleeding after sex.

vaginal bleeding after sexHere are some of the major causes of vaginal bleeding after sex:

1. Chlamydia: This is a type of STD caused due to the bacteria called Chlamydia trachomatic. This is transmitted by sexual activity, vaginal fluid, blood or contact with semen.

2. Cervical dysplasia: This condition causes precancerous changes in the epithelial cells, which line the cervix. Risk of this condition increases by participating in sex with more than one person, sex before 18 years of age, childbirth before 16 years of age, or a history of STDs. Usually, treatment options for cervical dysplasia include conisation or cryosurgery.

3. Cervical polyps: These are smooth, purple or red, finger like tumors that develop outside the cervical canal or mucus layer of the cervix. They are particularly fragile and extend out of the cervix and they can be removed easily and painlessly.

4. Endometritis or adenomyosis: It is an inflammation of endometrium. These two conditions are associated with endometriosis. Adenomyosis occurs when endometrial tissues attach themselves to uterus or some other organs like ovaries and develop out of the uterus.

5. Fibroids: They are benign solid masses and made of fibrous tissues. Symptoms greatly vary and sometimes they won’t show any symptoms. Fibroids disappear on their own when you enter into the menopausal stage because estrogen production decreases.

6. Gonorrhea: An STD caused by bacteria. You will find various treatments to avoid the condition.

7. Trichomoniasis: It is an STD caused due to protozoan. This can also be transmitted to newborns during birth. It can cause vaginitis.

8. Vaginal yeast infection: It is an increased growth of normal fungi that restrains the vaginal area. This condition causes itching, cheese, odorless and whit colored discharge.

9. Uterine polyps: Overgrowth of the endometrium that causes protrusions in your uterus can lead to uterine polyps. These tumors can be benign or malignant. Uterine polyps can cause bleeding between menstrual cycles, vaginal bleeding after sex, menorrhea, spotting, bleeding after menopause, and bleeding in hormone therapy.

10. Vaginitis: This is also called as cervicitis. It causes swelling or inflammation and infection of your cervix or vagina. Treatment procedure mainly depends on the causes.

11. Cervical ectropion: This is the state in which cervical tissues are more susceptible to abrasion.

12. Pelvic inflammatory disease: It is the infection of vagina or cervix that spreads to uterus, ovaries and fallopian or uterine tubes. Sexually active women are at high risk of developing this condition.

13. Cancer of the cervix, uterus or vagina: All these conditions can cause vaginal bleeding after sex. The cells on the cervix undergo changes, which can be pre-cancerous and these can cause bleeding after sex. If you have pre-cancerous cells or cervical cancer, avoid having sex.

14. Menopausal changes: When you enter into menopause state, there is a decrease in vaginal lubrication and the vaginal area becomes dry because of decreased estrogen levels. Estrogen is the key to maintain vaginal health and elasticity.

15. Postpartum changes: Most of the women experience cervical changes during and after pregnancy, which can lead to bleeding after sex. This is one of the reasons why most women have Pap smear within 2 months after delivery.