Can dyspareunia cause vaginal tearing or bleeding?
Yes, in some cases, dyspareunia can lead to small vaginal tears or bleeding, especially if the tissues are dry, inflamed, or not well lubricated.
Detailed Medical Explanation
Tears or bleeding can occur when there is inadequate lubrication, atrophic changes (especially after menopause), infection, or trauma. Small tears (fissures) often heal quickly but can recur if the cause isn’t treated. Persistent or heavy bleeding should always be evaluated by a healthcare professional. NHS: Vaginal Dryness.
Clinical Context
Vaginal tearing or bleeding with sex is not normal and should prompt a review by a specialist to check for underlying conditions and ensure proper healing.
Evidence-Based Approaches
NICE and NHS recommend assessment of bleeding after intercourse, with consideration for lubricants, hormone therapy, or infection treatment if needed. NHS: Vaginal Dryness.