What should you know about mild spotting after intercourse?

Friction, dryness, a small surface tear, or inflammation can cause a few spots after sex. A sensitive area of the cervix may bleed with contact, including during pregnancy or around hormonal changes. Infection can also cause bleeding, particularly when discharge, pelvic pain, burning urine, or pain during sex is present.

Less common causes include cervical polyps, changes in cervical cells, or problems in the womb. Bleeding after intercourse is a common presentation of some cervical conditions, but it does not tell you which condition is responsible. Read about [Bleeding Between Periods](/symptoms/bleeding-between-periods/).

Note when the spotting occurs, how long it lasts, whether it follows deeper penetration, and whether you have pain or discharge. Pause intercourse if it causes bleeding or discomfort, and consider a water-based lubricant when dryness may be contributing. Arrange a gynaecology or primary-care appointment if the symptom returns.

An assessment may include a pregnancy test, infection tests, and an examination of the vagina and cervix. Depending on your history, the clinician may recommend cervical screening or further tests. [Chlamydia](/conditions/chlamydia/) is one infection that can affect the cervix and reproductive tract.

Seek urgent help for heavy bleeding, severe pelvic pain, faintness, fever, or bleeding during pregnancy. Prompt review is also sensible when bleeding follows menopause, happens after nearly every sexual encounter, or comes with offensive discharge or feeling acutely unwell.

Ask whether the cervix looks irritated, whether infection testing is needed, when your next cervical screening is due, and whether you need an ultrasound or specialist review. Mention contraception, pregnancy possibility, new partners, and any treatment that has recently changed.