Is It Normal to Bleed After Sex, And What Should I Do About It?

Bleeding after sex can be unexpected, confusing, and even frightening. Maybe it’s a few drops of pink on the sheets. Maybe it feels more like spotting. Or maybe you weren’t sure it was even related to sex until it happened a few times in a row.

If you've found yourself wondering, “Is this normal?” or “Is something wrong with me?” you’re not alone and you're not overreacting.

Many of our clients come to therapy carrying uncertainty around what they’re experiencing in their bodies, especially when it comes to things like sexual pain, discomfort, or bleeding during or after sex. These symptoms are often dismissed or minimized, and that can leave people feeling isolated, ashamed, or unsure of what to do next.

Let’s talk about what post-sex bleeding can mean, when to seek medical care, and how sex therapy can support you emotionally, relationally, and sexually.

Is Bleeding After Sex Common?

In short: yes, it’s relatively common, but that doesn’t mean it should be ignored.

The medical term for bleeding after penetrative sex is postcoital bleeding. Studies estimate that up to 9% of menstruating people experience it at some point. It can happen to anyone regardless of your age, sexual orientation, gender identity, or relationship status.

Postcoital bleeding can happen after:

• Vaginal or anal penetration

• Use of sex toys or fingers

• A new sexual partner or different position

• Rough or prolonged intercourse

• Sex after a long period of abstinence

Whether you’re in a long-term relationship, exploring a new connection, dating casually, or single and reconnecting with your body, this experience is valid, and deserves attention.

What Causes Bleeding After Sex?

Bleeding can be caused by several different factors. Some are minor and temporary, while others may require medical attention.

Vaginal Dryness or Lack of Arousal

If your body isn’t fully lubricated, penetration can cause small tears in the vaginal walls, leading to light bleeding. This can happen if you’re not fully aroused, feeling anxious, or navigating hormonal changes (like postpartum, perimenopause, or the effects of certain medications).

Cervical Sensitivity

Some people have a cervix that is naturally more sensitive or lower in position, making it more prone to bleeding with deeper penetration or certain positions.

Friction or Rough Sex

Even if sex is consensual and pleasurable, higher-intensity or prolonged penetration can irritate delicate tissue. Using toys, strap-ons, or fingers for penetration may be related if there’s not enough lube or warm-up.

Infections

Sexually transmitted infections (STIs) like chlamydia or gonorrhea can cause inflammation and increase bleeding. Bacterial vaginosis or yeast infections may also lead to irritation and spotting.

Polyps or Cervical Changes

Non-cancerous growths on the cervix or uterus (like polyps or fibroids) can cause bleeding during or after sex. In some cases, cervical cell changes due to HPV or other conditions may also lead to spotting.

Trauma or Injury

Unintentional tearing of the vaginal or anal tissues can happen during sex, especially if there’s inadequate preparation, insufficient lube, or communication challenges about pacing and comfort.

When to See a Medical Provider

While occasional light spotting isn’t always a cause for concern, consistent or heavy bleeding after sex should always be evaluated by a provider.

You should reach out to a medical professional if you:

• Bleed after sex regularly

• Notice pain, burning, or discomfort

• Experience bleeding outside of your menstrual cycle

• Have discharge, odor, or other new symptoms

• Haven’t had a recent pelvic exam or STI screening

Our team of sex therapists can also connect you with a gynecologist or primary care provider you trust. Queer-friendly and trauma-informed providers are available, and your experience deserves to be taken seriously, without shame or dismissal.

Emotional and Relational Impacts of Post-Sex Bleeding

Beyond the physical symptoms, bleeding after sex can take a toll on your mental and emotional well-being. Many of our clients describe feeling:

• Embarrassed or ashamed

• Afraid to initiate or enjoy sex

• Distant from their partner(s)

• Anxious about being “too much” or “not normal”

• Reluctant to talk to providers for fear of judgment

This is where relationship therapy can be a powerful part of your support system.

How Sex Therapy Can Help

We offer a compassionate, affirming space to process what you're experiencing, whether you’re dealing with physical discomfort, relational tension, or emotional blocks.

Here’s how sex therapy can support you:

Unpack the Emotional Impact

You might logically know bleeding is common, but still feel embarrassed, anxious, or frustrated. Therapy helps you explore those feelings and reduce the shame that often keeps people silent or disconnected.

Address Fear and Avoidance

It’s common to start avoiding sex or intimacy out of fear that you’ll bleed, hurt, or upset your partner. In therapy, we work to understand and gently shift these patterns so you can reconnect with your body on your terms.

Improve Communication

Whether you’re partnered or dating, or even preparing to explore intimacy again, therapy can help you communicate your needs and boundaries more confidently, without apologizing for your body.

Explore Queer-Affirming, Inclusive Sexual Health

If you’re queer, non-monogamous, or nonbinary, your experience matters. We understand that your sexual health concerns may not fit into a traditional framework, and we’re here to hold space for the full spectrum of identities, relationships, and practices.

You Are Not Alone And You’re Not Broken

Your body is speaking to you. Bleeding after sex may not always mean something serious, but it is always worth exploring. Whether you're concerned, confused, or just want to feel more confident navigating sex and intimacy; it’s okay to ask questions and seek care.

If you're looking for support that goes beyond a quick Google search, or you've ever typed “sex therapist near me” hoping to find someone who gets it, know that you're in the right place.

Support Is Available

At Embrace Sexual Wellness, we specialize in working with people of all orientations and relationship styles who are navigating issues like discomfort during sex, low desire, performance anxiety, and intimacy after physical or emotional pain. We’re based in Chicago, IL, and also serve clients virtually in Illinois, Indiana, Idaho, Kansas, and Louisiana.

Whether you’re partnered, single, newly dating, queer, or questioning, your experience is valid, and your body deserves care. Book a free phone consultation with us today!

Why Don’t I Want Sex Anymore, and Is Something Wrong With Me?

If you’ve found yourself thinking, “I just don’t want sex anymore,” you’re not alone.
Maybe sex used to feel exciting or connecting, or maybe it’s always been complicated. But now, it feels like something you avoid, feel pressure around, or just don’t think about at all. It’s confusing. Sometimes scary. And for many people, the first question that follows is:

“Is something wrong with me?”

The short answer: no. But your experience does deserve attention, care, and support.

Low sexual desire, or no desire at all, is incredibly common, especially among women in long-term relationships who are juggling work, parenting, emotional labor, or unresolved relationship tension. It’s also one of the most common concerns clients bring to therapy.

Let’s break down why desire can shift, what it might be trying to tell you, and how working with a therapist can help you feel more connected to yourself and to your partner.

What Does It Mean If I Have Low Sexual Desire?

Desire isn’t a fixed personality trait. It ebbs and flows across our lives and relationships. So when you notice a change in your interest in sex, that’s not a flaw or failure, it’s a signal.

Desire often fades in response to something (e.g., stress, resentment, exhaustion, disconnection, or even internalized shame about sex). But instead of interpreting that signal with curiosity, many people assume it’s a reflection of their identity or worth.

In reality, desire is complex. It can be relational, emotional, hormonal, psychological, or all of the above. And with the right support, it’s often possible to understand it, and reclaim it, on your own terms.

It’s also important to note the difference between low sexual desire and asexuality. Asexuality is a valid sexual orientation, not a dysfunction or problem to fix. A person who is asexual may experience little or no sexual attraction, and that’s a healthy part of their identity. In contrast, low desire usually feels like a change from what’s been typical for you, or something that’s causing distress or tension in your relationship. If you’re unsure where you fall, therapy can help you explore that with curiosity and care.

Why You Might Not Want Sex Right Now

Here are just a few of the common (and very valid) reasons desire might be low:

Mental Load and Overwhelm

For many women, sex doesn’t just require time, it requires mental space. When your mind is full of to-do lists, caregiving responsibilities, and work stress, it’s hard to feel present or open to physical connection.

Burnout and Emotional Fatigue

Chronic stress and burnout have a major impact on our nervous systems. When you’re in survival mode, your body prioritizes rest and regulation over arousal or intimacy. It’s biology, not personal failure.

Disconnection or Resentment in the Relationship

Desire needs safety and closeness to thrive. If you feel emotionally distant from your partner, or if there’s unspoken frustration, miscommunication, or unequal labor in the relationship, it’s no surprise that intimacy starts to feel less appealing.

Sex Hasn’t Felt Good in a While

If past sexual experiences have felt pressured, unfulfilling, or one-sided, your body may begin to anticipate more of the same. This can trigger shutdown or avoidance,.not because you’re broken, but because your nervous system is protecting you.

Hormonal Changes or Medical Factors

Perimenopause, postpartum recovery, chronic pain, and certain medications can all affect desire. It’s important to understand how physical and hormonal shifts are impacting your experience, not to pathologize, but to make space for healing.

When Low Desire Impacts Your Relationship

In many couples, low desire creates a pattern of tension: one person initiates; the other pulls away; both feel frustrated, rejected, or confused. Over time, this can lead to emotional distance, decreased physical affection, or feelings of inadequacy.

It’s easy to assume that a lack of sex means something is fundamentally wrong with the relationship. Often, lack of interest in sex is not about the relationship at all, it’s about the conditions the relationship is existing in.

That’s where therapy can help.

How Sex Therapy Supports Healing and Connection

Whether you’re working individually or as a couple, therapy can be a powerful way to better understand your relationship with desire and gently shift it.

You don’t need to be in crisis to benefit. Many clients seek support when they simply notice: “I’m not feeling like myself,” or “I miss the intimacy we used to have.”

Here’s what therapy can offer:

A Shame-Free Space to Explore What’s Happening

You don’t have to explain or justify why sex feels different right now. A skilled therapist creates space for you to name what’s real, without fear of judgment or pressure to “fix” anything quickly.

Tools to Regulate the Nervous System

Many people experiencing low desire are operating in a state of chronic stress or hypervigilance. Therapy can introduce mindfulness-based tools that help you feel safer, calmer, and more attuned to your body.

Support for Couples to Reconnect

In couples therapy, we work to reduce pressure around sex and strengthen emotional intimacy. That might look like practicing more open communication, addressing longstanding resentment, or redefining what connection means in this season of your life.

Reframing What Desire Really Is

Desire doesn’t always look spontaneous or urgent. Sometimes it’s responsive, meaning something that builds when you feel relaxed, cared for, and emotionally safe. Therapy helps you explore your unique template for desire, without comparison or shame.

What If I’m Not Sure Where to Start?

That’s okay. You don’t have to have it all figured out. In fact, therapy is a place to not have all the answers.

If you’re in the Chicago area, or looking for virtual support across Illinois, our team at Embrace Sexual Wellness offers compassionate, trauma-informed sex therapy that meets you where you are.

We specialize in working with individuals and couples navigating low desire, performance anxiety, and emotional or sexual disconnection. Whether you’re looking for support on your own or with your partner, we’re here to help you take the next right step.

Signs You Might Benefit from Therapy

You don’t need a diagnosis or a crisis to reach out. Therapy might be helpful if:

• You feel disconnected from your body or desire

• Sex feels like a duty, not a choice

• You and your partner have stopped talking about intimacy

• You feel guilt, shame, or confusion about your level of desire

• You want to feel more present and connected during intimacy

You’re Not Broken. You’re Human.

Low desire is not a flaw. It’s a signal, a cue from your body and mind that something deserves attention. And like most things in therapy, that signal can become a starting point for healing, growth, and deeper connection.

You don’t have to navigate it alone.

If you’re curious about working with a therapist to explore your relationship with sex, we invite you to reach out to our team of providers. Whether you’re based in Illinois or another state we’re licensed in, support is available.

Can Therapy Really Help with Sexual Performance Anxiety?

Sex is supposed to be pleasurable, right?

But for many people, sex doesn’t feel free, confident, or connected; it feels pressured, stressful, and full of second-guessing. If you've ever found yourself overthinking your performance in the bedroom, worrying about how your body is responding, or feeling frozen in moments that are supposed to feel intimate, you’re not alone.

Sexual performance anxiety is incredibly common, but it’s rarely talked about even in therapy spaces. And unfortunately, the silence often makes things worse. The good news? Therapy can help, and not just in a surface-level way. It can address the deeper emotional and relational patterns that keep performance anxiety in place and help you (and your partner) move toward real, connected intimacy.

Let’s break it down.

What Is Sexual Performance Anxiety?

Sexual performance anxiety is a form of anxiety that shows up in sexual situations whether you're about to have sex, thinking about sex, or trying to be intimate with a partner. It can affect people of all genders, sexual orientations, and relationship types.

It often sounds like this:

• “What if I can’t keep it up?”

• “What if I don’t finish?”

• “What if I don’t feel anything?”

• “What if they think I’m bad in bed?”

• “What if my body doesn’t respond the way it’s supposed to?”

• “What if I disappoint them?”

For some, performance anxiety leads to avoidance (e.g., avoiding sex, closeness, or even conversations about intimacy). For others, it shows up during sex as intrusive thoughts, tension, or a sense of being disconnected from your body. This can be frustrating, isolating, and, let’s be honest, deeply painful, especially if it’s affecting your relationship.

Common Causes of Sexual Performance Anxiety

Sexual performance anxiety rarely shows up out of nowhere. It's often connected to one or more of the following:

1. Cultural or religious shame about sex

Messages you received growing up about sex being "bad," "dirty," or only for reproduction can linger in the body and mind, even years later. These messages about sex can lead us to think we are ‘wrong’ for wanting to be intimate or thinking about engaging in sex with our partners.

2. High pressure to perform

Especially for men, there's often pressure to “initiate,” “stay hard,” “last long,” or “satisfy your partner” all while being relaxed and confident. That's a lot of pressure for something that's supposed to be mutually enjoyable.

3. Body image concerns

If you're worried about how your body looks or functions during sex, it's hard to be present.

4. Past sexual trauma or negative experiences

Unresolved trauma or even one awkward, painful, or embarrassing sexual encounter can shape how you feel about intimacy moving forward.

5. Relationship issues

Ongoing conflict, lack of trust, or emotional disconnection can make sex feel like a performance instead of a shared experience.

6. Stress, anxiety, and mental health

Generalized anxiety, depression, and chronic stress (especially from work, parenting, or caregiving roles) can impact desire, arousal, and confidence.

So, Can Therapy Really Help?

Yes, and here’s how. At Embrace Sexual Wellness, we work with individuals and couples who are dealing with the emotional, relational, and physical challenges of sexual performance anxiety.

Therapy can help you:

1. Understand what’s really going on

Performance anxiety is rarely just about what’s happening in the moment. Therapy helps uncover what’s fueling the anxiety, whether it’s past experiences, shame, fear of failure, or relational dynamics. You get to explore your story in a safe, supportive space.

2. Interrupt the anxiety-thought cycle

In therapy, you’ll learn how to identify and challenge anxious thoughts before they spiral into shutdown or panic. This might involve CBT techniques, mindfulness practices, or somatic awareness, all aimed at helping you stay present and grounded during intimacy.

3. Reconnect with your body

Performance anxiety pulls you out of your body and into your head. Therapy helps you rebuild a relationship with your body that feels safe, attuned, and responsive, not judgmental or critical. This can be especially healing for people who’ve experienced dissociation or discomfort during sex.

4. Communicate with your partner more openly

If you're in a relationship, therapy can support both of you in having honest, shame-free conversations about sex. You’ll learn to express needs, set boundaries, and understand each other’s triggers so sex becomes a space of trust, not pressure.

5. Heal from past experiences

Whether you’ve been through trauma, rejection, or simply years of sexual avoidance, therapy offers a chance to heal. You don’t have to carry the weight of old experiences into every intimate moment.

6. Create a new sexual narrative

Instead of sex being about performance, pressure, or expectation, therapy helps you define what you want sex to mean. Perhaps it’s connection, pleasure, playfulness or safety or a combination. You get to rewrite the script.

What to Expect in Sex Therapy

You don’t have to show up with all the answers. You don’t need to be in crisis. You just need to be willing to be curious and honest with yourself and your therapist.

We’ll create a space that’s affirming, nonjudgmental, and tailored to you. Some clients come for individual therapy; others come as a couple. Either way, therapy is always consent-based, collaborative, and deeply respectful of where you are in your journey.

We often hear clients say things like:

“I wish I’d started this sooner.”

“I am so relieved I found you to help us.”

“I thought I was broken, but I just needed someone to help me understand what was really going on.”

You’re not broken. You’re human. And you don’t have to figure this out alone.

Sex Therapy in Chicago

At Embrace Sexual Wellness, we offer specialized comprehensive care in sex therapy that targets your goals. While we are based in Chicago, Illinois, we’re also licensed to support clients in Idaho, Indiana, Kansas, and Louisiana. Whether you're local or working with us virtually, you’ll receive compassionate, expert care grounded in science and rooted in human connection.

TLDR

Sexual performance anxiety can make intimacy feel like a test you’re always failing, but it doesn’t have to stay that way. Therapy can help you understand your anxiety, shift your mindset, reconnect with your body, and build a sex life that actually feels good for you and your partner. You don’t need to power through, shut down, or pretend everything’s fine. You can talk about it. You can work on it and find new strategies to approach intimacy with more ease.