 [ Symptoms ] why can not i ejaculate  i am 22 years old i recently had chronic prostatitis and my urine flow was blocked i had to get a foley catheter it was removed 2 days ago it feels like i am going to ejaculate but nothing comes out [ Disease ] infections an infection of the cervix “cervicitis” can make the cervix more “friable” easier to bleed both gonorrhea and chlamydia can produce bleeding from the cervix the same infections that infect the cervix can also infect the lining of the uterus infections of the uterine lining can make it easier to destabilize causing erratic bleeding as well as bleeding after sex thus an infection can increase the risks for breakthrough bleeding especially among users of hormonal birth control e g pillsevrapatchnuvaring fragile tissue on the face of the cervix in some women there is a normal enlargement of the area of fragile glandular type tissue “cervical ectopi” these women can have bleeding even when the cervix is sampled with a pap smear some common causes of cervical ectopi can include being a young teenager using birth control pills or being pregnant polyps a polyp coming from the cervical canal may bleed only when the cervix is touched this could include sex toys fingers or a penis cervical polyps may account for up to 12 5 of bleeding after sex endometrial polyps or uterine fibroids can create a focus for unstable uterine lining hormonal status as anyone who has used hormonal forms of birth control pillpatchringshot can attest spotting and breakthrough bleeding are common side effects women using postmenopausal hormone therapy can experience the same issues with spotting among young women who are not using birth control which suppress ovulations spotting can signal ovulation if a woman has a history of missed periods her uterine lining may be very thickened in that instance spotting after sex can represent small amounts of the lining being shed off the top layer women who are postmenopausal and not using any form of estrogen may have post coital bleeding in this scenario the vaginal tissues can become very thin and easily traumatized — even with the use of lubricants