In the media, in online publications, you can quite regularly see issues that interest many women - they are related to intimate life. For example, why does blood flow during sex? Many women complain that during a hollow act or immediately after it there is a blood discharge, although menstruation has long passed. Some immediately go to the doctor, undergo treatment with some drugs, but the problem still remains. What to do in this case, when blood appears during sex?
It should be said that the main reason for this phenomenon is precisely the disease of the female genital area, so in all cases it is recommended to undergo a full course of examination by an experienced gynecologist.
Some experts advise colposcopy for genital infections, a smear on the flora and oncocytology. If there is no problem with this, then the reason why the blood came during sex may be the fragility of the cervical vessels .
Most gynecologists claim that the cause of the appearance of blood during sex is endometriosis. In the presence of this disease, endometrial cells line the inside of the uterus, and the cells responsible for menstrual flow go beyond its border, attaching to the cervix, but at the same time behave as they should - they fill up with blood once a month.
This disease is characterized by the fact that before menstruation, small doses of bleeding are released in limited areas of endometriosis, which lead to blood accumulation and lead to the appearance of volumetric formations, called “chocolate” cysts due to the color of their contents or endometriomas. These secretions can frighten a couple in love, causing bewilderment, why is there blood during sex?
Endometriosis usually affects organs and tissues located close to it - ovaries, uterine muscles, peritoneum of the bladder, space behind the uterus, rectum and sigmoid colon, cervix and vagina. There are also cases of endometriosis of postoperative scars.
Foci of endometriosis in distant organs such as the lungs or brain are much less common.
The cause of this ailment is still not fully understood. The mechanism of development of this disease is quite complex, one that includes changes at the level of genes, cell enzymes and hormonal receptors. These changes lead to increased activity of endometrioid cells. Such activity is not suppressed by defense mechanisms. Due to retrograde menstruation, which gives the release of menstrual blood into the fallopian tubes and further into the peritoneal cavity, active endometriotic cells are grafted onto the peritoneum surrounding the uterus, and also “settle” on neighboring organs.
Endometriosis is considered a disease of reproductive age, characterized by a progressive course that supports the cyclic function of the ovaries and stops developing with the onset of menopause.
Some experts explain the presence of polyps, erosion, and cervical cancer as the reason why blood appears during sex .
Also, such a situation, when blood appears during sex, can be observed in the case when the girl had a too long period of abstinence, not enriched in sexual life. But the reverse situation is not excluded, when too violent sex has caused injury to the vaginal mucosa, or leads to other similar injuries.
All the above facts can provoke the appearance of blood during sex, but only a competent gynecologist can give an answer to all sore questions after a thorough study and examination of his patient.