Bleeding with intercourse

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.