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Sexual orgasm leads to parasympathetic neruronal discahrge throughout the body.
This dilates the blood vessels, and leads to transient ruddy appearance of the facial skin, which you describe as red blotches.
Yes. Sexual activity involves heightened neural activity. That is, the heart pumps faster, the breathing heightens, faces flush as blood vessels dilate. As mentioned above, the parasympathetic system works extra during the sex act. This is necessary as sexual response lies in many ways on the interplay between external factors which initiates arousal to ejaculation which culminates sexual activity.
These red blotches on your face may be due to facial flushing as blood vessels
(capillaries) dilate and bring forth increased blood flow to the area. This should subside. You may take a cool shower or wash your face with cold water. If there are no other associated symptoms like pain or itchiness in the area then this should resolve on its own.
But I it is only one blotch and it stays for 3 to 4 days. Doesn't look like a rash it looks like a bruise. Does the same answer apply.