Will sexual intercourse cause bleeding in cases of uterine prolapse?

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on February 06, 2025
00:00
00:00

When women suffer from uterine prolapse, bleeding usually does not occur during intercourse. Bleeding only occurs in certain special circumstances, such as when a woman suffers from severe cervical erosion or acute cervical inflammation, where the cervical surface exhibits congestion and edema.

Furthermore, some women with severe symptoms of uterine prolapse might have the cervix protruding outside the vaginal opening; the friction between the cervix and undergarments can lead to local ulcers, and even infections. In such cases, intercourse might cause bleeding from cervical trauma. Generally, the amount of bleeding is relatively small, which may manifest as blood streaks in vaginal discharge.

Other Voices

doctor image
home-news-image
Written by Shen Li Wen
Obstetrics and Gynecology
1min 9sec home-news-image

Can you get pregnant with uterine prolapse?

When women experience uterine prolapse, if it is only mild or moderate, it usually does not affect their ability to become pregnant normally. In most cases, when the woman lies down, the protruding part of the uterus might naturally retract, or it can be manually pushed back into the vagina. During intercourse, after ejaculation, the cervix may still be immersed in semen, allowing sperm to pass through the cervix smoothly, and the woman can become pregnant normally. However, in cases of severe uterine prolapse, such as when the entire uterus descends outside the vagina, and cannot be repositioned back into the vagina even when lying down, during intercourse, the ejaculated semen may not sufficiently immerse the cervix, and sperm may not be able to normally enter the cervix and uterine cavity. Additionally, many women with severe uterine prolapse might experience cervix erosion, bleeding, and infection due to friction, which can produce inflammatory cells that hinder the normal passage of sperm, leading to difficulties in conception.

doctor image
home-news-image
Written by Wang Jing Hua
Obstetrics and Gynecology
46sec home-news-image

Uterine prolapse bleeding, what's going on?

Uterine prolapse and vaginal bleeding typically occur due to infections related to the prolapse. Bleeding can also stem from precancerous lesions of the cervix, cervical inflammation, and other issues. Some cases involve bleeding from within the uterine cavity, which necessitates diagnostic examinations. Firstly, an examination of secretions is required, followed by an examination of the cervix to check for precancerous changes, cervical polyps, or severe cervical inflammation. Other potential causes include inflammation of the uterus, polyps of the endometrium, complications from intrauterine devices, or abnormal proliferation of the endometrium, among others.

doctor image
home-news-image
Written by Shen Li Wen
Obstetrics and Gynecology
54sec home-news-image

Can you have sexual intercourse with uterine prolapse?

When a woman experiences uterine prolapse, it generally does not affect normal sexual activity, as symptoms might improve in a supine position, regardless of the type of prolapse. For instance, with moderate uterine prolapse, where the cervix protrudes beyond the vaginal opening, it might retract back into place when lying down. However, during sexual activity, cleanliness and hygiene should be considered. When uterine prolapse is severe, part of the uterus may be exposed at or outside the vaginal opening. Prolonged walking or other activities can cause friction, leading to possible cervical erosion and infections. Therefore, during intercourse, actions should not be too rough as it may exacerbate erosions or cause bleeding.

doctor image
home-news-image
Written by Shen Li Wen
Obstetrics and Gynecology
43sec home-news-image

What are the clinical manifestations of uterine prolapse?

When women experience uterine prolapse, the clinical symptoms vary depending on the severity of the condition. For instance, mild uterine prolapse often does not cause any discomfort. Severe uterine prolapse, however, may be due to the pulling of the uterus, leading to a reflex tension in the surrounding ligaments and causing congestion in the pelvic area. Women may feel pain in their sacral or lower abdominal area, which intensifies with excessive fatigue or prolonged standing. Some women may also experience stress urinary incontinence or changes in bowel behavior, such as constipation.

doctor image
home-news-image
Written by Li Li Jie
Obstetrics and Gynecology
49sec home-news-image

What is a good treatment for uterine prolapse?

Generally, mild uterine prolapse does not have a significant impact on the body and can continue to be observed. It is also important to frequently perform anal contraction exercises to prevent the worsening of uterine prolapse. If uterine prolapse severely affects sexual life and normal daily activities, surgical treatment should be considered. This can include repair of the anterior and posterior vaginal wall, or partial cervical resection combined with repair of the anterior and posterior vaginal wall. If necessary, consider performing a vaginal hysterectomy. Regularly practicing yoga at home and running daily if possible can effectively enhance body resistance and also prevent severe uterine prolapse.