What Is a Bruised Cervix?

A bruised cervix is not common, but they do occur. We are going to break down what cervical bruising is, how it happens, and what you can do about it.

What is a bruised cervix?

Let’s begin by saying this, no you cannot bruise your cervix. When you get a bruise, blood from damaged capillaries rises to the skin’s surface. A bruised cervix is used to describe the tenderness and sensitivity you feel, not how the cervix looks. Typically, cervical bruising is caused by vigorous penetration during sex.  

How can you bruise your cervix? 

The cervix sits right on top of the vaginal canal. The average distance from the vaginal opening to the cervix is between 3 and 6 inches. It should be noted that the cervix of a woman of reproductive age is significantly larger than that of a postmenopausal woman. The cervix holds both an internal and an external position. Its lower half, or intravaginal part, lies at the upper end of the vagina, and its upper half lies above the vagina, in the pelvic/abdominal cavity. When aroused, the vagina stretches to allow for easier penetration; however, a larger penis or object may be more likely to cause a cervical injury. Additionally, some people who have a lower cervix may find themselves more prone to injury.

Deep penetration with vigorous movement may continuously hit the cervix causing some discomfort. Every person has a different vaginal structure and uterus position which makes some women more susceptible than others

Lastly, if you are not properly aroused, the vaginal opening and cervix are closer together. Be sure you are communicating your needs and use a personal lubricant to minimize friction, tearing, and discomfort.

Connection between the cervix and the uterus

Your cervix is a small canal that connects your uterus and vagina. The uterus plays a critical role in menstruation, fertility, and pregnancy. Your uterus can lie in several positions. Most women, 80%, have an anteverted uterus. An anteverted uterus leans forward at your cervix and points towards your abdomen.

Your uterus can also be tilted backwards. This is called a retroverted uterus. A retroverted uterus points towards your spine instead of forward towards your abdomen.

What are the symptoms of a bruised cervix?

The first symptom you will notice is tenderness after sex. A bruised cervix will generally feel like dull cramping pain in the lower abdominal region for a few days afterward. You may also experience some very light spotting. 

How can you treat a bruised cervix?

The bad news is you cannot treat a bruised cervix unless your doctor says otherwise. The good news is cervical bruising is not permanent and will generally go away after a couple of days. You may try a heating pad to help ease cramping. Also, wear loose-fitting clothing that won’t put more pressure on your abdomen. 

The best way to prevent bruising your cervix is to communicate! If you start to feel any discomfort, do speak up and let your partner know! Sex should never be painful. If you notice yourself in discomfort after sexual intercourse, think about using different positions or smaller toys.

When to see a doctor

If you experience regular pain after penetration you should talk with your gynecologist or healthcare provider. 

You should also talk to your doctor if:

• Your symptoms have lasted a week or more.
• You are experiencing vaginal bleeding that is not associated with your period.
• You are experiencing abdominal cramping.

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