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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.

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.

Most women benefit from a treatment approach aimed at the many causes behind this condition. Recommendations may include sex education, counseling, and sometimes medicine and hormone therapy. Sex education and counseling. Talking with a sex therapist or counselor skilled in addressing sexual concerns can help with low sex drive.

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