Can vaginal atrophy cause bleeding after intercourse?
Yes, vaginal atrophy can cause bleeding after intercourse. Thinned and fragile vaginal tissues are more likely to tear or bleed with friction or penetration.
Detailed Medical Explanation
With oestrogen deficiency, the vaginal lining becomes thinner and loses elasticity and moisture. Even gentle sexual activity can lead to minor tears and bleeding. Persistent bleeding should be assessed by a doctor to rule out other causes such as polyps or malignancy. NHS: Bleeding and Atrophy.
Clinical Context
This is a common concern among postmenopausal women. Simple treatments often restore comfort and prevent further injury.
Evidence-Based Approaches
Bleeding after sex should always be discussed with a healthcare provider for appropriate investigation and management. RCOG: Postmenopausal Bleeding.