Patient's question:
I have been a mother for two months, and I had a cesarean section. The lochia took about a month to subside, and my wound has healed well. Last night, I had sex with my husband and don't know if it will have any impact. I haven't had my period yet and don't know if I might be pregnant.What kind of help do I need: How long after a cesarean section can one have sex?
Doctor's answer:
Some people believe that as long as postpartum lochia is clean, couples can resume sexual intercourse. In fact, this view is incorrect. The duration of postpartum lochia is generally 2 to 4 weeks. Even after lochia has subsided, the wounds inside the uterus have not fully healed, and the physical exhaustion from childbirth has not recovered, leaving the body with weakened immunity. If sexual intercourse occurs too soon, it can easily lead to infections, such as vaginitis, endometritis, salpingitis, or menstrual irregularities. Generally, sexual intercourse should be avoided within the first 40 days of a vaginal delivery, and for cesarean births, sexual activity should be temporarily avoided for two months—this requires attention. Postpartum check-ups should be conducted promptly at 42 days, and if necessary, a color ultrasound should be performed to examine the condition of the uterine appendages. Typically, contraceptive measures can be taken three months after delivery when menstruation returns to normal, and an intrauterine device (IUD) can be inserted for contraception after six months of breastfeeding. Additionally, avoid contact with cold water and cold foot baths, and avoid spicy foods. Avoid baths and heavy physical labor, as these can easily lead to gynecological infections and uterine prolapse. Rest and consume plenty of high-quality protein foods.