From the details you have shared, it appears that the recent bleeding after intercourse is likely related to your uterine fibroids After sex, along with pain, during intercourse suggests that the fibroids, especially the posterior wall, maybe causing friction or slight trauma to the uterine lining or surrounding tissue. This can lead to small amount of bleeding, even if your periods have become lighter overtime since this has started recently and occurred twice in a short span, it indicates a change in local tissue sensitivity, or possibly an increase in vascularity around the fibroid area
According to ayurvedic perspective, the focus should be on stabilising, menstrual flow, reducing uterine congestion, and inflammation supporting the reproductive tissues and improving local circulation
You may start with Kanchanar guggulu 1-0-1 Strirasayana vati 1-0-1 Chandraprabha vati 1-0-1 Asoka aristha 4 tsp-0-4 tsp
Avoid cold, heavy and excessive spicy food. Drink plenty of fluids sleep at before 11 PM Regular walking
Hlo,
🌿 Ayurvedic Understanding - In Ayurveda, post-coital bleeding (Maithuna Anantara Raktasrava) with pain indicates:-
- Vata–Pitta vitiation in the Garbhashaya (uterus) - Presence of Granthi (fibroid) → Kapha dominance causing obstruction - Reduced menstrual flow + thin endometrium (ET 4.6 mm) → Vata dryness - Pain during intercourse → Apana Vata dushti - Spotting → Rakta dhatu weakness + Pitta irritation - So this is a Vata-Pitta predominant fibroid condition with Rakta kshaya.
🌿 Ayurvedic Prescription (General & Gentle)
1️⃣ Internal Medicines (6–8 weeks)
- Kanchanar Guggulu – 1 tablet twice daily after meals 👉 Helps in fibroid size control
- Ashokarishta – 15 ml with equal water twice daily after meals 👉 Controls bleeding & strengthens uterus
- Shatavari Churna – ½ tsp with warm milk at bedtime 👉 Reduces dryness, pain, and supports endometrium
2️⃣ Local Support (Very Important)
- Avoid intercourse temporarily until bleeding stops - Avoid excessive dryness → no harsh vaginal washes If pain persists: Castor oil 5–6 drops externally on lower abdomen, gentle massage at night
3️⃣ Diet & Lifestyle (Key Points) ✅ Include: Warm, freshly cooked food Pomegranate, dates, soaked raisins Ghee in small quantity
❌ Avoid: Very spicy, sour, fried foods Coffee, alcohol Intercourse during spotting or pain
🚨 Important Medical Advice Because bleeding after sex has started recently, please do not ignore: Get Pap smear & cervical examination if not done recently Sudden post-coital bleeding can sometimes be cervical-related, not only fibroid Ayurveda works best alongside proper diagnosis
Tq
HELLO,
WHAT COULD BE CAUSING THIS IN YOUR CASE Given your history and symptoms, a few possibilities stand. out
1) CERVICAL CAUSES (Very common) -cervical erosions -cervical infection or inflammation -cervical polyp These often cause light spotting after intrcourse and can be associated with pain during sex
2) UTERINE FIBROID -A posterior fibroid measuring ~4.6 cm usually does not directly cause bleeding after sex, but it can alter uterine blood flow and menstrual patterns -the reduced menstrual flow you’re noticing may be related to hormonal treatment for fibroids or changes in the uterine lining
3) HORMONAL EFFECTS FROM FIBROID MEDICATION -Many fibroid treatments thin the endometrial lining, which can cause -lighter periods -fragile tissues-> spotting after intercourse
4) VAGINAL DRYNESS OR INFLAMMATION -can cause pain during intercourse and light bleeding, especially if hormonal balance has chaned
5) IMPORTANT TO RULE OUT -cervical precancerous changes (especially at age 35) -Less commonly, endometrial or cervical cancer. Thes are UNCOMMON , but post coital bleeding is a red flag symptom that must be checked
WHAT YOU SHOUDL DO NEXT (important) please arrange a gynaecological examination soon including -speculum examination of the cervix -Pap smear -pelvic ultrasound to reassess fibroid and uterine lining -cervical infection tests, if discharge or pain persist
In Ayurveda, your condition can be seen as combination of -Rakta pradara/ Asrigdara-> abnormal bleeding -Granthi (uterine fibroid)-> kapha vata dominance -Yoni kshobha-> pain and bleeding after intercourse This usually involves vitiation of pitta (bleeding) with kapha (fibroid growth) and vata (pain, dryness)
TREATMET GOALS -stop abnormal bleeding -balance pitta and vata -gradually reduce fibroid impact -strengthen uterine tissues -improve vaginal lubrication and comfort
INTERNAL MEDICATIONS 1)FOR BLEEDING CONTROL
-ASHOKARISHTA= 20 ml + equal wate twice daily afte meals
-LODHRA CHURNA= 1 tsp with warm water in morning =excellent for post coital spotting and cervial issues
2) FOR FIBROID MANAGEMENT -KANCHANAR GUGGULU= 2 tabs twic edialy after meals =reduces fibroid size gradually
-VARUNADI KASHAYA= 15ml + equal wtaer twice daily after meals =helps in pelvic congestion, and fibroid related symptoms
3) FOR PAIN DURING INERCOURSE AND TISSUE HEALING
-PHALA GHRITA= 1 tsp twice daily after meals =strenthens uterus and Balances Vata pitta
LOCAL TREATMENT
1) YONI PICHU= tampon soaked I medicated oil like shatavari taila =reduces dryness, pain ,and tissue fragility
2) HERBAL VAGINAL WASH= if infection or irritation is suspeted
DIET AND LIFESTYLE
AVOID -spicy, sour, fried foods -excess tea, coffee -red meat -late night and stress
PREFER -cooling foods= rice, milk if tolerated, coconut water -vegetables= bottle gourd, pumpkin, ridge gourd -fruits= pomegranate, apple -ghee in small amounts
SEXUAL ACTIVITY -avoid intercouse until bleeding is evaluated and controleld -use adequate lubrication when resuming -avoid rough or deep penetration
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
Hello I get why you’re worried. Bleeding after sex, especially when it’s new, can be scary. Thanks for sharing all your info clearly. So dont worry we are here to help you out 😊
YOUR CONCERN
* You’re 35. * You have uterine fibroids (53x50 mm and 24x18 mm on the back wall). * You’ve had spotting after sex (twice in 15 days). * Sex is painful. * Your periods are shorter (used to be 4 days, now less). * Your endometrial lining is thin at 4.6 mm.
In Ayurvedic terms, it looks like a mix of:
* Vata acting up= causing pain during sex, dryness, and lighter periods. * Pitta showing its face- leading to the spotting after sex. * A tendency for growths (Granthi / Arbuda) - these are your fibroids, which are mainly Mamsa-Kapha issues.
Fibroids don’t always cause bleeding after sex, but in your case, it could be due to:
* Dryness in the cervix or vagina. * Some irritation there. * The fibroid on the back wall pressing on things, making tissues fragile, which can cause spotting and pain.
FIRST THINGS FIRST(Super Important!)
Since this bleeding after sex is new, you need to make sure:
* You’ve had a recent Pap smear / cervical check (if not in the last year). * You get a pelvic exam to check for things like cervical erosion, infection, or polyps.
Ayurveda works best when we’ve ruled out any urgent gynecological problems.
AYURVEDIC PLAN OF TREATMENT
INTERNAL MEDICATION
1.Ashoka ghrita - 1 tsp morninh empty stomach If the regular Ashokarishta gives you heartburn, try Ashokaghrita instead.
2.Shatavari kalpa 1 tap with warm milk twice daily This helps with unusual bleeding, strengthens tissues, and balances hormones.
3.Kanchanar Guggulu: 1-0-1 after food This helps control fibroids and stops them from getting worse.
4 Phalaghrita: 1 tsp at bed time Really good for: * Vaginal dryness * Pain during sex * Thin endometrium
EXTERNAL. CARE
Yoni Abhyanga (vaginal area only, externally): Use Bala Taila, or just plain sterile sesame oil. This helps with dryness, pain, and calming Vata. Don’t douche inside.
FOOD AND DAILY HABITS
INCLUDE
* Warm, freshly cooked meals. * Cow ghee every day (1-2 teaspoons). * Warmed, boiled milk. * Rice, wheat, moong dal. * Pomegranate, soaked figs.
AVOID
* Very spicy, sour, fermented foods. * Too much tea, coffee. * Dry, cold foods. * Sex when you’re spotting or in pain.
LIFESTYLE AND SEXUAL HEALTH TIPS
* Avoid sex when: * There’s spotting. * You have pain or dryness. * Get enough rest and stay calm emotionally. * Do gentle pelvic relaxation (nothing that strains).
With the right Vata-Pitta balancing, the spotting can get better in 1-2 months. Pain during sex often improves faster with ghrita and snehana. Your fibroids can stabilize, though getting rid of them completely takes time.
You’re doing the right thing by looking into this early. This can be managed, but it needs a mix of proper checks and Ayurvedic care, instead of just ignoring the signs.
Wishing you strength and good health!
Warm Regards Dr. Snehal Vidhate
BLEEDING AFTER INTERCOURSE THAT HAS STARTED RECENTLY ESPECIALLY WHEN IT WAS NOT PRESENT BEFORE IS NOT SOMETHING TO IGNORE PARTICULARLY WHEN YOU HAVE A KNOWN HISTORY OF UTERINE FIBROIDS AND YOU ARE ALSO EXPERIENCING PAIN DURING INTERCOURSE AND A CHANGE IN MENSTRUAL FLOW
FROM BOTH MODERN AND AYURVEDIC VIEWPOINT THIS PATTERN SUGGESTS LOCAL SENSITIVITY OR IRRITATION IN THE CERVIX OR UTERUS RATHER THAN A GENERAL HORMONAL ISSUE ALONE POST COITAL SPOTTING IS MOST COMMONLY ASSOCIATED WITH CERVICAL EROSION CERVICITIS LOCAL INFLAMMATION OR PRESSURE EFFECT FROM FIBROIDS ESPECIALLY POSTERIOR WALL FIBROIDS WHICH CAN CAUSE DEEP DYSPAREUNIA AND TRAUMA DURING INTERCOURSE THE REDUCED MENSTRUAL FLOW ALSO INDICATES A CHANGE IN ENDOMETRIAL FUNCTION OR UTERINE DYNAMICS WHICH NEEDS CAREFUL FOLLOW UP
FROM AN AYURVEDIC PERSPECTIVE THIS INDICATES A COMBINATION OF LOCAL DRYNESS INFLAMMATION AND DISTURBED VASCULAR SUPPORT IN THE UTERINE TISSUE OFTEN INVOLVING VATA AND PITTA DISTURBANCE AT THE LEVEL OF THE REPRODUCTIVE ORGANS WHEN THE TISSUES LOSE SOFTNESS AND ELASTICITY EVEN MILD FRICTION CAN CAUSE BLEEDING
DO NOT RELY ONLY ON MEDICINES AT THIS STAGE YOU SHOULD UNDERGO A GYNECOLOGICAL EXAMINATION INCLUDING PAP SMEAR IF NOT DONE LAST YEAR CERVICAL EXAMINATION TO RULE OUT EROSION OR INFECTION REPEAT ULTRASOUND
AYURVEDIC SUPPORT CAN BE STARTED
ASHOKARISHTA 15 ML WITH EQUAL WATER TWICE DAILY AFTER FOOD
LODHRASAVA 15 ML WITH EQUAL WATER TWICE DAILY AFTER FOOD
KANCHNAR GUGGULU TWO TABLETS TWICE DAILY AFTER FOOD WITH WARM WATER
SHATAVARI CHURNA HALF TEASPOON TWICE DAILY WITH WARM MILK OR WATER
AVOID INTERCOURSE UNTIL BLEEDING AND PAIN COMPLETELY SETTLE AVOID ROUGH OR DEEP PENETRATION EVEN AFTER SYMPTOMS IMPROVE MAINTAIN GOOD LOCAL HYGIENE
AVOID SPICY SOUR FRIED AND VERY HOT FOODS AVOID ALCOHOL AND EXCESS CAFFEINE INCLUDE WARM COOKED FOODS GHEE STEWED VEGETABLES ENSURE ADEQUATE SLEEP AND STRESS REDUCTION
IF BLEEDING INCREASES IF BLEEDING STARTS OCCURRING WITHOUT INTERCOURSE IF PAIN WORSENS IF YOU NOTICE FOUL DISCHARGE YOU MUST SEEK IMMEDIATE GYNECOLOGICAL REVIEW
AYURVEDA CAN HELP IN STABILIZING FIBROID RELATED SYMPTOMS AND IMPROVING TISSUE HEALTH BUT POST COITAL BLEEDING ALWAYS NEEDS PROPER EXAMINATION FIRST TO RULE OUT LOCAL PATHOLOGY BEFORE LONG TERM MANAGEMENT
It is due to vaginal dryness. It may also complicate because of the fibroids.
Use some gel based lubrication
For fibroids use
Tab. Kanchanar Guggul 2 tabs twice a day before food Tab. Mansapachak Vati 2 tabs twice a day before food Cap. Femigen 2 caps twice a day before food
1.Ashokarishta 20 ml with 20 ml water twice daily after meals 2.Lodhrasava 20 ml with 20 ml water twice daily after meals 3.Shatavari 1 tsp with warm milk twice daily after meals
🍎 Diet & Lifestyle Tips Favor cooling, nourishing foods: Cooked vegetables, whole grains, milk (if tolerated), ghee, and fresh fruits (non‑sour).
Avoid aggravating foods: Spicy, oily, fried, fermented, and excessively sour foods.
Hydration: Warm water and herbal teas (coriander, fennel, cumin).
Stress management: Yoga, pranayama, and meditation help regulate hormones.
Regular routine: Consistent sleep and meal times stabilize vata and pitta.
