Why does it hurt and bleed during sex after a cesarean section? What should I do?

It is normal to resume sexual life after cesarean section, but many mothers say that they have not had sex for too long and have vaginal pain during the first intercourse after giving birth. What is going on? What is the reason for bleeding during sex? Let's take a look~

Resuming sexual life after childbirth is a big deal for young couples, but many couples encounter many problems in this process, such as why does vaginal pain occur during intercourse after a cesarean section? Do not have intercourse for 2 months after a cesarean section. When having intercourse after a cesarean section, the movements must be gentle and moderate to avoid pain.

Why does vaginal pain occur during intercourse after cesarean section?

It takes about two months for a woman's body to return to normal after a cesarean section, and she can gradually resume sexual intercourse. Sexual intercourse after a cesarean section must be gentle and moderate to avoid vaginal lacerations. Some postures need to be changed to prevent the wound from healing. At the same time, the husband needs to understand that if the woman feels uncomfortable, she should stop immediately. Generally speaking, sexual intercourse can only be resumed when there is no lochia after a cesarean section and the wound is completely healed.

However, postpartum women may experience vaginal dryness and other discomforts during intercourse, so they should generally use condoms containing lubricants or female topical spermicides or vaseline as lubricants to increase vaginal lubrication. As long as you open your mind and don't have too many worries, you will slowly adapt.

When women are breastfeeding after childbirth, the high secretion of prolactin in the body will inhibit the normal endocrine function of the ovaries, causing the vagina to lack sufficient estrogen support, reducing the gland's secretion capacity, and may also cause pain and dryness during intercourse. Premature sexual intercourse can cause inflammation such as cervicitis, endometritis, and adnexitis, or hinder the healing of perineal and vaginal wounds, as well as the recovery of postpartum health.

Analysis of the reasons why intercourse is painful after cesarean section

Many women experience pain during intercourse after childbirth, which affects the normal conduct of their sex life and the emotional communication between the couple. Most of the pain during intercourse after cesarean section is caused by the mother's wound not healing smoothly or the husband's actions during intercourse are not gentle enough or too intense.

1. The husband is very aggressive

Since the husband has abstained from sex for a long time, once he resumes his sexual life, he may easily move violently, which may cause perineal tissue damage, rupture and bleeding.

2. Maternal physical reasons

The physical recovery of each mother is different. If the new mother is weak, the wound is inflamed, she is anemic, or malnourished, the wound healing time may be delayed. Having sex too early may cause wound rupture or pain.

3. Resuming sexual life too early

Theoretically, it takes 7 days for the incision of a cesarean section to heal and the sutures to be removed. Although the surface of the wound appears to be healed, it usually takes 6 to 8 weeks for the deep muscle layer and fascia to recover. Resuming sexual intercourse too early may cause the wound to rupture and bleed. Some women with lacerated wounds are particularly prone to wound infection and should be examined by a doctor to ensure that they are completely healed before resuming sexual intercourse. Related recommendations: Why does sexual intercourse hurt after a cesarean section?

4. Related to wound suture

The epidermis of the perineum is sutured with silk thread, while the inner muscle and subcutaneous fat layer are generally sutured with catgut. Due to individual differences, the absorption of catgut by human tissue and the quality of catgut will affect the absorption of human tissue and hinder wound recovery.

In summary, the resumption of sexual intercourse after childbirth must be done after the wound has fully recovered. During the first sexual intercourse after childbirth, the husband must be gentle and moderate. If vaginal bleeding is found after intercourse, it is necessary to see a doctor immediately to avoid delaying treatment.

Bleeding during intercourse after cesarean section After cesarean section, mothers' uterus, abdominal wall and reproductive organs generally need 3 months to recover, so intercourse after cesarean section should be delayed until 3 months after delivery. If intercourse is too early or too much movement is made during intercourse after cesarean section, it may cause perineal tissue damage, bleeding, rupture and bleeding. In addition, bleeding during intercourse after cesarean section is also related to disease factors, the most common of which are gynecological inflammatory diseases and cervical dysplasia.

1. Suffering from gynecological inflammation. If you do not take good care of yourself after caesarean section, you are prone to diseases such as vaginitis or cervicitis, which can easily cause inflammation. Bleeding during intercourse after caesarean section is the main symptom of inflammatory infection.

2. Cervical hypoplasia. This situation often occurs in mothers who have had sex and pregnancy too early, have had multiple sexual partners, or have undergone cesarean section with a history of uterine disease. Due to uterine hypoplasia, the uterus changes during pregnancy, and it is easy to bleed during intercourse. This situation is mainly treated by cryosurgery.

3. Chlamydia infection. During intercourse, some mothers who have undergone caesarean section may be infected with chlamydia due to sperm, vaginal fluid or blood, and may bleed after having sex again.

4. Cervical polyps. If a mother who had a caesarean section has cervical polyps, single or multiple small pedunculated granulation tissues may grow on the cervical opening. These polyps are tender and bleed when touched, so there may be bleeding after sex.

5. Endometriosis. If a mother who has undergone cesarean section has endometriosis, there will be blue-purple nodules in the uterus. If the blue nodules are touched during intercourse, it will cause bleeding. The bleeding is usually small in amount and dark red in color. Abdominal pain often occurs after intercourse.

It is worth noting that bleeding during intercourse after a cesarean section may also be a normal physiological phenomenon of ovulation bleeding. If there is no obvious discomfort after bleeding during intercourse, there is no need to worry too much.

Things to note when having sex for the first time after a cesarean section

1. Gentle movements

When having sex for the first time after a caesarean section, you should be careful not to move too much, but should be gentle and moderate, not too violent, and not too frequent to reduce the risk of vaginal lacerations. If you feel uncomfortable during sex, you should change and choose a comfortable position to prevent the wound from being pressurized and causing pain.

2. Use lubricant

For breastfeeding mothers, estrogen levels are relatively low, and this situation will reduce vaginal secretions during intercourse, which will cause pain or discomfort during intercourse. For this problem, it is recommended to use lubricants to replace vaginal secretions to increase comfort during intercourse.

3. Use a breast protection bra

For breastfeeding women, breast leakage often occurs, which may occur inappropriately during sex. Therefore, if you are preparing to have sex, you should use a bra or breast pad to prevent breast leakage so as not to disturb your interest in sex.

4. Create a good atmosphere

When a couple resumes sexual intercourse for the first time, the child should be left in the care of the parents to avoid affecting the atmosphere during intercourse. At the same time, a warm and romantic atmosphere should be created to help the mother eliminate psychological and physiological discomfort, thus ensuring a smooth sexual life for the couple.

5. Take good contraceptive measures

During the first sexual intercourse after childbirth, you must take precautions against pregnancy and do not get pregnant again for the sake of momentary joy. Since the mother's uterus has not fully recovered after childbirth, getting pregnant again will cause serious damage to the uterus.

6. Reduce contact with the wound and its surroundings

During the cesarean section, the incision and the surrounding area of ​​the mother are anesthetized. During the operation, the nerves and tissues are stretched or damaged, and the mother's wound may feel numb for several months or even a year after the cesarean section. If the numb area is touched, it is very likely to feel uncomfortable. At this time, the wife should tell her husband to reduce touching the wound and the surrounding area.