Can vaginal dryness cause painful intercourse and bleeding?
Yes, vaginal dryness can lead to painful intercourse (dyspareunia) and sometimes mild bleeding due to fragile vaginal tissue. Addressing dryness can significantly improve comfort and reduce these symptoms.
Detailed Medical Explanation
Vaginal dryness leads to thinning and loss of elasticity of the vaginal lining, making intercourse uncomfortable or painful (dyspareunia). The lack of lubrication increases friction, which can cause small tears or abrasions, resulting in light bleeding. Persistent pain or bleeding should be assessed by a clinician to exclude other causes, such as infection or more serious pathology. Early intervention with lubricants, moisturisers, or oestrogen therapy can restore comfort. NHS: Vaginal Dryness and Discomfort.
Clinical Context
Painful intercourse and bleeding are distressing but treatable symptoms of vaginal dryness. Our clinic offers sensitive assessment, tailored management, and follow-up support for affected women.
Evidence-Based Approaches
Clinical evidence supports the use of lubricants and topical oestrogen for symptom relief. If bleeding or pain is severe or persistent, further tests may be needed to exclude other conditions. RCOG: Vaginal Dryness Information.