Can vaginal dryness cause bleeding after intercourse?
Yes, vaginal dryness can cause minor bleeding after intercourse. This is due to increased friction and small tears in the delicate vaginal tissue when moisture is lacking.
Detailed Medical Explanation
When the vagina is dry, its lining is thinner, less elastic, and more vulnerable to microtears or abrasions during sex. This can lead to spotting or light bleeding afterwards. Persistent or heavy bleeding should always be checked by a doctor to rule out other causes. Using vaginal moisturisers and lubricants can help prevent injury. NHS: Bleeding & Vaginal Dryness.
Clinical Context
We see minor bleeding from dryness most often in perimenopausal and postmenopausal women, but it can affect women of any age. Medical review is advised for new or ongoing bleeding.
Evidence-Based Approaches
Guidelines advise symptom management and medical assessment for all postcoital bleeding. RCOG: Bleeding and Dryness.