 [ Symptoms ] bleeding after sex but have not had a period in years because of my iud shoulda i see my ob  i have had my iud for about four and a half years recently after sex i have noticed that i will begin bleeding it is not immediate but seems to go on into the following afternoon or evening it is very light minimal spotting and occasionally a clot or two i have not had a period regularly in my entire life and they essentially stopped after the first six months with my iud should i see my ob and what could possibly be the cause [ Disease ] the vaginal area is very vascular so even a tiny sex related tear can cause some bright red bleeding since this can heal very fast your gyn may not find the cause of the bleeding if it was caused by minor trauma please keep in mind that there can be numerous other causes including those related to your iud placement so it would be prudent to see your medical provider since this bleeding is a new phenomena for you