Patient's question:
In this case, there is no menstrual cramps. When the menstrual flow is heavy on the first day, it hurts in the morning of the first day and then improves the next day. An ultrasound examination also showed normal results. I have been taking Mifeprex for menstrual regulation for 6 months, and during these 6 months, my menstrual cycle has been very normal with no cramps.Doctor's answer:
The loss of blood during menstruation reduces blood circulation, leading to insufficient blood supply to various systems and tissues, nutrient deficiencies, weakened immunity, and increased susceptibility to infection by pathogenic microorganisms. During menstruation, the functional layer of the endometrium is almost completely shed, leaving only the ends of glands and blood vessels on the surface, with no epithelial coverage, making it highly susceptible to infection. If sexual intercourse occurs during menstruation, and the male's reproductive organs are not clean, or the female's external genitalia are not clean, pathogenic bacteria may be introduced, potentially causing acute or chronic genital, pelvic inflammatory disease, endometritis, and endometriosis. The male may also be prone to urinary tract infections. During sexual intercourse, both partners engage in intense excitatory activities under the control of the higher sexual nervous center, including the nervous system, cardiovascular system, and respiratory system, mobilizing the entire body's energy. A good physical condition is necessary as a foundation for this response. Intercourse during menstruation undoubtedly increases the burden on the female's body and reflects a lack of responsibility from both partners towards themselves and each other, which will also affect future sexual life and harmony. If sexual intercourse occurs during menstruation, the following adverse consequences may arise:1. Due to mutual excitement, the insertion of the penis may cause congestion in the female reproductive organs, leading to increased menstrual flow and prolonged menstruation.
2. During intercourse at this time, the male reproductive organs may introduce bacteria into the vagina. Menstrual blood is an excellent breeding ground for bacteria and microorganisms, making it easy for bacteria to multiply and spread along the numerous tiny wounds and broken blood vessels in the endometrium, potentially infecting the endometrium and even affecting the fallopian tubes and pelvic organs, causing unnecessary trouble for the female.
3. Menstrual secretions entering the male urethra may also cause urethritis.
4. Intercourse during menstruation, as sperm encounters damaged endometrium or escaped blood cells, or even enters the bloodstream, may induce the production of antisperm antibodies, leading to immunological infertility or subfertility.
5. During menstruation, sexual arousal causes uterine contractions, which may squeeze endometrial fragments into the pelvic cavity, causing endometriosis and potentially leading to infertility.