If there are problems during sex during menstruation, how long will they appear?

Patient's question:

During menstruation, if a woman has a problem, how long will it take for symptoms to appear? What are the common symptoms?

Doctor's answer:

Menstruation is prohibited during sexual intercourse because the endometrium forms wounds during this period, and the immunity of various systems declines, making it easy to cause inflammatory infections 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 endometrial implantation and resulting in endometriosis. Endometriosis may affect fertility, so sexual intercourse during menstruation should be avoided.

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