First let’s look into the causes of Postcoital Bleeding in Males and you check if your symptoms match with any of the conditions I am suggesting
1. Trauma or Friction Injury
• Most common cause
• Due to rough sex, inadequate lubrication, or vigorous activity
• Can cause small tears or abrasions on the foreskin, frenulum, or glans penis
2. Frenulum Tear
• The frenulum (small band under the glans) is prone to tearing during sex
• Can bleed heavily but briefly
• Often heals on its own but may require minor surgical correction (frenuloplasty) if recurrent
3. It can also be caused due to trauma to the urethra or the channel along which urine comes out of the penis I.e.
Urethritis - Inflammation often due to STIs (e.g., chlamydia, gonorrhea, trichomonas)
Urethral stricture - Narrowing of urethra causing irritation and bleeding
Urethral trauma - From instrumentation like recent urine catheter application, vigorous sex, or masturbation
4. It’s not very common but theoretically Sexually transmitted infections (STIs) like:
• Gonorrhea
• Chlamydia
• Herpes
may also cause urethral discharge, dysuria I.e pain during urination, and bleeding after sex so it’s best to get a Urine routine microscopy done
5. Renal Stone
It’s less likely bút get it checked by a Urologist or get a NCCT KUB done if symptoms don’t resolve
So the line of management can be like this
Workup
• Physical exam of the penis and urethra
• Urinalysis and urethral swab for infections
• Cystoscopy if urethral tumor/stricture suspected
• STI screening (chlamydia, gonorrhea, herpes)
• Penile ultrasound or imaging in rare cases
Home Care for Minor Injuries that you can try if reluctant to go to a Urologist
• Gentle cleansing
• Avoid sexual activity until healed
• Use lubricants during intercourse
• Treat underlying infection if present
But my advice is don’t take random opinion’s like this consult a Good Physician or a Urologist and get to the cause and get it treated early
Answered2025-06-01 08:02:48
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