And also I forgot to ask: does this need medical treatment or can it heal on it's own?
Hi.
Many factors can cause bleeding. The important fact here is that you don't know whether it's internal (break-through bleeding) or external from a tear or irritation, which is certainly possible.
Here are some possibilities for you to consider:
If it were me, I’d want to know whether I have a condition that needs to be treated. Now that you’re being sexual with another person, you need to take responsibility for taking care of your sexual health.
There are many possible causes of your bleeding:
Your cervix may be irritated. Short anatomy lesson: once you’re sufficiently aroused, the uterus rises up, moving the cervix out of the way of a penis so it doesn’t get bumped. If you’re having penis-vagina sex (p-v) before you’re turned on, your cervix is vulnerable to bumping and irritation, which causes cramping as well as some expulsion of menstrual blood remaining in your uterus from your last period—or early discharge of menstrual blood if your period is about to arrive.
You may also be experiencing tearing and abrasions if you’re not turned on. A pelvic exam can determine the extent of the tissue trauma, if there is any. If p-v hurts, you need to tell your partner to ease up and slow down. And be sure you’re wet enough—or get some good lube to augment your own natural lubrication. I recommend Replens, which is available at most drugstores.
In addition, if your partner has had little or no sexual experience, he might not have been aware that both of you need to be very turned on before p-v sex, and that it takes time. You need lots of touching, kissing, etc. and whatever else turns you on.
Before attempting p-v again, it will be helpful to start with something small, like a finger, inserted just a teeny bit at a time to see how it feels and build comfort. You can do this during self-pleasuring. Here are the steps: Once you’re very aroused, just touch the outside of your vagina. See how that feels. Breathe. Once that feels OK, then try putting a finger just a tiny bit inside, and again evaluate the feeling and breathe. You get the picture: break it down into small steps, and stop when you’re feeling anxious. Give yourself permission to go very slowly.
And be sure your partner understands that the two of you need to slow down. If after slowing down, letting yourself get turned on and lots of practice, you find you’re still bleeding and in pain, get a pelvic exam to find out why you’re bleeding. Good luck to you. Dr. J