Pregnant now for 4 and a half months, can we have sex?

Patient's question:

Now I am 4 and a half months pregnant. Can I have sex? If so, what precautions should I take? If not, please explain why? Additional question: When having sex, neither of us likes to wear a condom, but we always clean ourselves before each time. I want to ask if this is okay? Another question is whether I can (ejaculate inside) at that time? If I do, what are the potential negative consequences?

Doctor's answer:

Hello: During the first three months and the last three months of pregnancy, sexual intercourse must be absolutely prohibited. From the fourth to the sixth month, although it is not forbidden, it should still be moderate.
In the early stages of pregnancy, the placenta has not yet developed fully, and the embryo is not yet firmly attached to the uterus, making it a high-risk period for miscarriage. In the later stages of pregnancy, especially one month or three weeks before delivery, sexual intercourse must be prohibited. At this time, the fetus is already mature. To prepare for the baby's birth, the uterus has descended, and the cervix has gradually opened. If sexual intercourse occurs during this period, the risk of amniotic fluid infection is relatively high.
Now, attention should be paid to the sexual position. During intercourse, the man should avoid lying on top and pressing the woman's abdomen. The female-on-top position can be used instead.

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