A: Some causes of vaginal bleeding after sexual intercourse, such as dryness due to menopause or irregular menstruation, are not serious and can be easily treated with topical hormone creams and/or contraceptives.
However, postcoital bleeding, even small amounts, can be a sign of a more serious underlying condition—like cervicitis (inflammation of the cervix, most often caused by an infection), an STD, uterine fibroids, or cervical cancer—so be sure to get checked by your gynecologist. And if you’re experiencing vaginal bleeding and pelvic pain during or after intercourse, visit your doctor ASAP: You could have pelvic inflammatory disease (PID), which can cause fertility problems and is potentially life-threatening. It is the result of an infection of one or more pelvic organs, including the uterus, cervix, and fallopian tubes. PID (generally caused by untreated gonorrhea and/or chlamydia) requires prompt treatment with antibiotics.
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