Support Centre

Bleeding with intercourse

Menopause symptoms and treatments.

Bleeding with intercourse

Bleeding with intercourse during menopause is a significant symptom that should not be overlooked. While vaginal dryness and tissue weakening are prevalent after menopause, bleeding after intercourse (postcoital haemorrhage) may suggest an underlying medical issue that requires care.

Book a consultation.

If you have any questions or concerns about your health, please book a consultation.

Don’t worry alone, we’re here to help.

Potential causes of bleeding in menopause

Vaginal atrophy: Vaginal atrophy is a condition caused by the weakening and drying of the vaginal tissues as a result of reduced oestrogen levels during menopause. During sexual activity, the fragile tissues may be more prone to tearing, resulting in bleeding.

Infections: Infections such as yeast infections or bacterial vaginosis can cause inflammation and irritation in the vaginal area, increasing the risk of bleeding during intercourse.

Cervical changes: Changes in the cervix caused by hormonal fluctuations during menopause can make it more sensitive and prone to bleeding.

Cervical polyps: Cervical polyps are growths on the cervix that can cause bleeding, particularly after sexual intercourse.

Pelvic organ prolapse: Menopause can weaken the pelvic floor muscles, which contributes to pelvic organ prolapse. This disorder can occasionally result in bleeding during intercourse.

Trauma or injury: Rough intercourse or insufficient lubrication can create minor tears in the vaginal tissues, resulting in bleeding.

STIs: Sexual infections can be a cause as women abandon contraception thus it’s important to still consider condom use with a new partner. The incidence of sexual infections in this demographic are growing.

Treatment options

Treatment options may vary depending on the diagnosis and may include:

  • To relieve dryness and limit the chance of additional damage, use vaginal moisturisers or lubricants.
  • Local oestrogen treatment to assist improve vaginal tissue health.
  • Infection treatment or other medical issues.
  • Changes in sexual practises or positions to alleviate annoyance.
  • If necessary, cervical polyp ectomy or other treatments will be performed.