Can I get gynecological diseases if I have sex on the first day of my period?

Patient's question:

I didn't notice that I was on my period, so I ended up having sex with my boyfriend on the first day of my period. I heard that having sex during your period might lead to gynecological problems. I wanted to ask here if having sex on the first day of your period can cause gynecological problems.

Doctor's answer:

Hello; Intercourse during menstruation is strictly prohibited because the endometrium has wounds during this period, and the immunity of various systems decreases, which can easily lead to the spread of inflammation, resulting in conditions such as endometritis, pelvic inflammatory disease, and adnexitis. Additionally, during female sexual arousal, uterine contractions may cause menstrual blood to flow back into the pelvic cavity, leading to the implantation of endometrium and causing endometriosis. Endometriosis may interfere with pregnancy, so it is necessary to avoid intercourse during menstruation.

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