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Bleeding after sex

I'm concerned that a few women here have mentioned bleeding after sex as if it's a normal feature of having an IUD.

BLEEDING AFTER SEX IS NOT NORMAL. IUDs do not cause bleeding after sex. If you get bleeding after sex, you need to see a doctor, and that's not a maybe but a must. ETA: I was referring to actual bleeding, rather than spotting, though it's wise to check out spotting just in case. Both copper and Mirena IUDs may cause irregular bleeding, for the first few months in particular, but that's not the same as distinctive bleeding after sex.

Here is a list of the top ten causes of bleeding after sex. I've just had a year of bleeding after sex which was caused by a cervical polyp, #5 on that list. It was my third polyp, and although the doctor says it's all coincidence and that some women are just more prone to them, I do suspect that the IUD may be a factor, since two of the three polyps occurred when I had an IUD in (with this one, it happened within a month or two of the IUD insertion, which meant I started getting bleeding after sex not too long after getting the IUD). Anyway, apparently it hasn't caused any problems and I'm still perfectly fine to use an IUD.

Here is a page for medical professionals which discusses how to deal with the various problems which may arise with IUD use, including bleeding problems. Note that bleeding after sex is not listed as a normal sequel to getting an IUD, but that it is listed as a possible sign of PID, which is taken very seriously indeed.


( 18 comments — Leave a comment )
Aug. 17th, 2007 01:02 pm (UTC)
Hey mods
I've just noticed that there isn't a tag for "sex", and I reckon you could do with one. We get quite a lot of questions about it, and they're not just about sex drive.
Aug. 17th, 2007 03:29 pm (UTC)
my cervix is perfectly healthy but even before my babies i would spot a bit it got hit during sex. After both babies, the bleeding was a bit worse, but still not bad. After getting my IUD, my cervix is still sensitive, and will spot even if i hit it masterbating. There is nothing wrong with mine, its had tests and exams run all over it.

my point is, while spotting after sex may or may not be a direct result of having an iud.. some people have sensitive ones, and having the strings hanging out can irritate it enough to make them bleed a bit. I spot if my strings move while checking it, never much, just enough for a slight tinge of pink. If i've had a rough "practice" session with the hubby where hes hitting it repeatedly, im guarenteed to spot, iud or not.

I get your point of providing that info, and it is good that you did. Im curious... how many of you out there have actually mentioned spotting after sex to your docs since getting your little uterus roommates? I know i havent, because spotting is normal for me, but my doc also knows of the spotting prior to getting mine. I havent seen him since getting the newest one.
Aug. 17th, 2007 04:32 pm (UTC)
Well bleeding due to an IUD is not normal, BUT, for example, I have *always* bled occasionally (only a very tiny bit! like pink fluids leaking out at me at the end) after sex with large partners - it's purely an issue of anatomy. I don't have any actual pain (errm, other than stretching pain, which I *like*). So I still bleed like that occasionally, but the rate has been unaffected by my IUD.

So, bleeding after sex with large partners IS normal for me. I've never had any polyps or cervical abnormalities.
Aug. 17th, 2007 04:46 pm (UTC)
Ditto this. I'm kinda small, he's kinda large, sometimes if we're in a position where he hits my cervix hard or if we're being rougher than usual, I'll spot a little. It hasn't changed since my IUD, and all my exams have been normal.

I guess if you never used to spot or bleed pre-IUD, and you're regularly bleeding after sex once you have one (and it's not just spotting), that would be a good time to check with your doctor.
Aug. 17th, 2007 05:09 pm (UTC)
Meh, I bled more heavily after sex when I had my Mirena (didn't stop bleeding for three months). I just assumed it was my uterus being cranky that there was something jostling about inside it.
Aug. 17th, 2007 05:32 pm (UTC)
I think what most women here are referring to as bleeding is actually spotting, which is not the same.
Aug. 17th, 2007 07:01 pm (UTC)
I totally disagree and so did my doctor. I would bleed after sex for the first few months after getting the IUD. It IS totally normal for some people.

I, like other posters above, have experienced a little pink twinge after sex every now and again. I have a sensitive cervix. There's nothing else wrong with it.
Aug. 17th, 2007 07:03 pm (UTC)
elettaria, I like your posts, but I think this OP is a little irresponsible. It might be your opinion, but presenting it as fact is not right, IMO. Look at all the posts from women who have totally normal bleeding after sex. No need to scare the hell out of people with posts like that.
Aug. 18th, 2007 10:38 am (UTC)
I didn't say it was necessarily harmful, but I've been told by my gynaecologist that it should always be checked out.
Aug. 17th, 2007 11:41 pm (UTC)
I've bled once or twice before after sex that didn't involve enough lube, but I think it's a friction thing and I know how to keep that from happening ever again.

A couple of days ago I bled after sex a little and then it happened again the next day, and I was worried. Now I realize that my period is slowly starting up, which it does ever since I got the IUD, starts and ends really really light.
Aug. 17th, 2007 11:58 pm (UTC)
There is a huge difference between bleeding and spotting. I think that is a critical point that was missed in the original post.

I spot mid cycle. I also spot after frequent sex. Spot.

when I had abnormal bleeding with my IUD it was bleeding. Flow - not spotting. Not tinged paper - blood and a decent amount of it. Started as spot, progressed to light flow, increased to heavier I need a pantiliner flow.

That kind of bleeding needs to be checked out. I think spotting is par for the course. Some women will get breakthrough bleeding at times, but I think most women who get that - know that's the case.

If you are bleeding abnormally and have an IUD, you need to see your dr. AT worst, (s)he'll tell you nothing is wrong, right?

So please, know your body - know what's normal for you. Confer with your dr if you do have regular midcycle bleeding or spotting - so they know it's normal for you too. And if you do bleed - please see you dr. I ended up with a tubal pg that could have seriously endangered my health.
Oct. 8th, 2007 04:01 am (UTC)
Thank you for the link on this. I think some of the other readers missed the point. Spotting or tinges are one thing, what I am looking for is actual bleeding (ie filling 2 pads in less than 6 hours postcoital, total of 6 pads in 24 hours before spotting for 3 days plus cramping). For what it's worth, I did get into my OB/Gyn and he doesn't feel it is my IUD, going off of family history he feels it is probably fibroids, we will find out tomorrow after the ultrasound. I found this post while trying to find info on fibroids.
Mar. 16th, 2008 06:42 am (UTC)
Thank you all for your posts here. I've been newly fitted with my copper IUD (two weeks) and although I've stopped bleeding and cramping for the most part, I did experience, what I now (thanks to your posts) realize was spotting after sex last night. The other information that I've read online does not make any distinction between BLEEDING and SPOTTING, and as a result, I've been panicking! But I can sleep peacefully tonight, knowing that the "tinges" I saw this morning are no cause for alarm.

Thanks again!
Feb. 11th, 2009 11:08 am (UTC)
I have not had my Mirena for quite 3 months now, so i am most days bleeding or spotting. If i am spotting lightly and have sex the spotting will become heavier but the appearance will not change, but if it is one of the rare days that i am not spotting after sex i usually begin to spot lightly to start with and then it may become a grunt heavier, but not what i would call actual bleeding and it's that nasty brown mess. Does anyone know if this is normal during the
beginning after getting the Mirena. To add, sex is not painful unless it's in a position to where i think he's hitting my cervix, then i get a sharp pain, i just assumed my insides were not well yet. Any experiences shared will be greatly appreciated.
Aug. 11th, 2010 04:43 am (UTC)
Problems Ive had Since I had Mirena IUD
I Got my IUD about 2 years ago, and for th past year or so I have been with the same man, I find after rough sex I bleed but has only happened twice in a year and it happens when I felt my man kinda hit it or my uterus in a wierd way and hurt for that second and not afterwards, not spot, bleed, and ever since I had my IUD inserted Ive had a little more discharge then I used to, it doesnt smell, and sometimes I get a goosh where it wets my panty liner and sometimes mistake it as getting my period, I used to have a really heavy period before i got it, and it would last 7 days, now it is light almost pinkish for about 3 days, I have gone to my doctor and been checked and nothing is abnormal in my tests.The bleeding after sex hasnt happened for about half a year now, but the discharge continues, but yet my tests come up clean. Should I be worried and get another doctor to treat me?
Jeronica Ferrer
Feb. 9th, 2014 11:51 am (UTC)
Ive had my iud copper for almost 2 years now. I was in so much pain for the past year when I get mg period. Last night me and my boyfriend had sex and this is the first time ive ever bled (heavy bleeding) after sex although sometimes I get spot after sex. I asked my boyfriend if he could check the string and he said he felt it but it was mostly on my left side. Im scared that my iud might have been misplaced.
Feb. 9th, 2014 12:44 pm (UTC)
If he's talking about how the string hangs down in your vagina, then it's normal for it to be on one side. The string comes out of your cervix, which is in the middle, and then can go anywhere in the vagina, really. It's common to tuck them up behind your cervix, which would mean on one side.

If the IUD's displaced, you may feel the hard plastic of the IUD poking out of your cervix. Can you put your fingers inside and feel your cervix? Either way, if you've been in terrible pain from the IUD and are now bleeding after sex, it's a wise idea to see a doctor. Hopefully it'll be something minor and easily fixed, eh.
Brianna Wade
Nov. 24th, 2016 06:14 am (UTC)
I've never bled after sex. I just got the IUD after having my beautiful year and a half old baby. Today I had started bleeding, like period blood not spotting, after having sex and it's been like this all day. I'm concerned because I haven't had a period since I've had the IUD. Is this normal?
( 18 comments — Leave a comment )