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Vaginal bleeding after sex also can happen for reasons including: Friction during sex due to not enough lubrication or foreplay. Hormonal types of birth control, which can cause changes in bleeding patterns. Bleeding during sex due to noncancerous polyps or fibroids that involve the lining of the uterus, also called the endometrium.

Lubricants are put into the vagina or on the vulva or penis just before having sex to ease pain during intercourse. These can be used with vaginal moisturizers. A low-dose vaginal estrogen cream, tablet or ring. This helps revive vaginal tissues.

Also address emotional factors that might be interfering with your enjoyment of sex, such as being stressed or depressed. Beliefs. Discuss your beliefs and expectations about sex. Consider whether misconceptions — such as the idea that women become less sexual after menopause — are affecting your sex life.

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