7 Reasons You're Bleeding After Sex (And When To Call Your Doctor)

LOADING ERROR LOADING When you notice some spotting or bleeding after vaginal sex — perhaps on your bed sheets, in your underwear or on the toilet paper — it’s natural to be concerned. “Insufficient foreplay, not using enough lubrication and estrogen deficiency caused by perimenopause and menopause are the most common causes of vaginal dryness,” Ross, a women’s sexual health expert and author of “She-ology,” told HuffPost. Vaginal dryness that’s causing painful sex or bleeding is quite common among patients in perimenopause and menopause, Barbieri noted, but can be “easily remedied” by using lubricants or topical vaginal estrogen cream. Vaginal Or Cervical Injury Bleeding may also occur if you’ve had rougher-than-usual sex or used certain sex toys, which can tear or injure the area, Barbieri said. Pregnancy When you’re pregnant, having sex can lead to spotting or mild bleeding, “caused by increased blood flow and inflammation of the vagina and cervix,” Ross said.