 [ Symptoms ] have hormone imbalance is that the reason why i spot after having infrequent intercourse should i take birth control i have always had a hormone imbalance had to take birth control to regulate my periods but currently not taking any have gone to my doctor for a new subscription but as i do not have sex regularly when i do it is sometimes painful but i spot either right after or a few days later condoms are used of course so im safe but am i going to bleed every time i have sex because im not on birth control [ Disease ] there can be a lot of variability in protocols between fertility centers in reality normal sperm can live for hours outside of the body however it is fairly common to recommend that gentlemen consider collecting specimens at the clinic if it is going to take longer than 30 minutes to deliver it